• Electron microscopy revealed an undifferentiated, monomorphous adenoma with morphological features of an acidophil stem cell adenoma such as the presence of misplaced exocytoses, fibrous bodies and mitochondrial gigantism. (nih.gov)
  • [ 2 ] of which the great majority in this region are pituitary adenomas. (medscape.com)
  • Approximately 85% of masses from this region are pituitary adenomas, followed in incidence by craniopharyngioma, Rathke cleft cyst, meningioma, and metastasis. (cap.org)
  • The diagnosis of pituitary adenoma is usually straightforward on H&E stained sections, which readily identify the monomorphic adenoma cell population. (cap.org)
  • A third transcription factor, pituitary cell-restricted T box factor (Tpit), drives corticotroph adenomas but its antibody is not yet commercially available as an IHC marker. (cap.org)
  • Case report: ACTH-secreting pituitary carcinoma metastatic to the liver in a patient with a history of atypical pituitary adenoma and Cushing's disease. (uams.edu)
  • Note the delicate acinar pattern of a normal pituitary gland (left), in contrast with disruption of the normal reticulin network in adenoma (right) (Wilder reticulin stain). (medscape.com)
  • However, even when these hormonal stains are negative, positive staining for SF1 alone is sufficient to diagnose gonadotroph adenoma. (cap.org)
  • The majority of previously classified "null cell" adenomas - negative for all hormonal markers - are now recognized as SF1 - driven and therefore would be classified as gonadotroph adenomas. (cap.org)
  • Pituicytoma, granular cell tumor of the neurohypophysis, and spindle cell oncocytoma are nonneuroendocrine tumors arising in the posterior pituitary and occur much less frequently than pituitary adenomas. (medscape.com)
  • [ 3 ] Pituitary adenomas are uncommon in the pediatric population, but most tumors of childhood are clinically functioning adenomas and are thought to be more aggressive. (medscape.com)
  • Additionally, certain subtypes of adenoma have been shown to be more clinically aggressive in that they tend to be more invasive, have earlier recurrence, and are more resistant to treatment. (cap.org)
  • Furthermore, some adenoma cells were fusiform with long cytoplasmic processes resembling thyrotropes. (nih.gov)
  • Adenomas driven by the transcription factor SF1, which are exclusively of the gonadotroph type, are a common subtype encountered by the surgical pathologist. (cap.org)
  • Treatment is mainly surgical (transfenoidal adenectomy or hypophysectomy of the acidophil adenoma is the treatment of choice. (canestar.com)
  • Histology of the pituitary lesion showed a typical eosinophilic adenoma which only secreted GH when tested with specific immunostain. (nel.edu)
  • In the 2017 World Health Organization Classification of Tumours of Endocrine Organs , pituitary adenomas remain classified by hormone expression as assessed by IHC staining. (cap.org)
  • When apoplexy occurs in functioning adenomas, it may cause spontaneous remission. (nel.edu)
  • However, classification based upon the driving transcription factor for each adenoma subtype is emerging as an additional method for classification. (cap.org)
  • After the five years follow-up magnetic resonance imagining showed reduction of the adenoma size (17 × 12 mm) was significant. (nel.edu)
  • Acidophil cell List of human cell types derived from the germ layers Bassetti, M. (wikipedia.org)
  • This undifferentiated, monomorphous GH/TSH-secreting pituitary adenoma represents an entity that is unusual both in its ultrastructural features and clinical manifestations suggesting a cytogenesis from an early, undifferentiated stem cell. (nih.gov)
  • We presented a case with a 54 × 40 × 40 mm pituitary adenoma and optic chiasmatic compression with left sphenoid sinus invasion. (nel.edu)
  • Orbital invasion by ACTH-secreting pituitary adenomas. (uams.edu)
  • Specimens of the adenoma tissue obtained at autopsy confirmed the previous findings with the exception of positive immunostaining for TSH which was found in less than 1% of the adenoma cells. (nih.gov)
  • For pituitary adenomas, transsphenoidal surgery is usually considered the first line of treatment, followed by medical therapy for residual disease. (medscape.com)
  • The former "silent type 3 adenoma" is now reclassified as Pit-1 positive plurihormonal adenoma. (cap.org)
  • [ 2 ] Incidental adenomas can be found in nearly 10% of autopsied patients. (medscape.com)
  • After clinical evaluation a giant GH/TSH-secreting pituitary adenoma was diagnosed. (nih.gov)
  • In this section the general characteristics of pituitary adenomas are discussed, followed by separate sections on subtypes of pituitary adenomas, pituitary neuroendocrine tumors grading, and pituitary carcinomas. (medscape.com)
  • For the purpose of this review, only the more common lactotroph and somatotroph adenomas will be addressed. (cap.org)