Difference between revisions of "Pituitary gland"

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Divisions:<ref>[http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo.html http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo.html]</ref>
Divisions:<ref>[http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo.html http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo.html]</ref>
*Anterior pituitary (aka adenohypophysis).
*Anterior pituitary ([[AKA]] adenohypophysis).
*Posterior pituitary (aka neurohypophysis, neural pituitary).
*Posterior pituitary (AKA neurohypophysis, neural pituitary).


==Function==
==Function==
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==Anatomy and histology==
==Anatomy and histology==
Basic anatomy (simplified):<ref name=bowen>[http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo_pit.html http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo_pit.html]</ref>
Basic anatomy (simplified):<ref name=bowen>URL: [http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo_pit.html http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo_pit.html]. Accessed on: 31 October 2010.</ref>
*Anterior:
*Anterior:
**Pars distalis.
**Pars distalis.
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*Anterior - Rathke's pouch (roof of mouth).
*Anterior - Rathke's pouch (roof of mouth).
*Posterior - diencephalon (ventral aspect).
*Posterior - diencephalon (ventral aspect).
Image:
*[http://www.ouhsc.edu/histology/Glass%20slides/38_01.jpg Pituitary gland (ouhsc.edu)].


==Histology==
==Histology==
Anterior - defined by cytoplasmic staining in H&E:
===Anterior===
*Acidophils = red or orange.
*Acidophils (40% of cells) = red or orange.
**GH, PRL.
**GH, PRL.
*Basophils = basophilic (light blue).
*Basophils (10% of cells) = basophilic (light blue).
**TSH, LH, FSH.
**TSH, LH, FSH.
*Chromophobes = no staining, not common (???).
*Chromophobes (50% of cells) = amphophilic (purplish/grey).


Posterior:
Notes:
*The cellular product (i.e. hormone produced) is not strictly correlated with the cell type.<ref name=Ref_PSNP26>{{Ref PSNP|26}}</ref>
 
===Posterior===
Features:<ref name=Ref_PSNP26>{{Ref PSNP|26}}</ref>
*Herring bodies - '''key feature'''.
**Eosinophilic axonal dilations filled with lysosomes and neurosecretory granules.
*Less cellular.
*Less cellular.
**Usually more cellular in perivascular location.
Image: [http://www.ouhsc.edu/histology/Glass%20slides/38_09.jpg Herring bodies (ouhsc.edu)].
==Pituitary adenoma==
Features:
*Loss of fibrous stroma.
==Rathke cleft cyst==
:See ''[[Head and neck pathology]]''.
*Arises from ''intermediate lobe''.


==See also==
==See also==

Revision as of 01:28, 1 November 2010

The pituitary gland is known as the master gland.

Divisions:[1]

  • Anterior pituitary (AKA adenohypophysis).
  • Posterior pituitary (AKA neurohypophysis, neural pituitary).

Function

Anterior part:[2]

  • Growth hormone (GH).
  • Luteinizing hormone (LH)
  • Follicle-stimulating hormone (FSH)
  • Thyroid stimulating hormone (TSH)
  • Adrenocorticotropic hormone (ACTH)
  • Prolactin (PRL)

Mnemonic: "Go Look For The Adenoma Please" = GH, LH, FSH, TSH, ACTH, PRL.

Posterior part:[2]

  • Oxytocin.
  • Antidiuretic hormone (ADH).

Anatomy and histology

Basic anatomy (simplified):[3]

  • Anterior:
    • Pars distalis.
    • Pars intermedia.
  • Posterior:
    • Pars nervosa.

Embryological origin:[3]

  • Anterior - Rathke's pouch (roof of mouth).
  • Posterior - diencephalon (ventral aspect).

Image:

Histology

Anterior

  • Acidophils (40% of cells) = red or orange.
    • GH, PRL.
  • Basophils (10% of cells) = basophilic (light blue).
    • TSH, LH, FSH.
  • Chromophobes (50% of cells) = amphophilic (purplish/grey).

Notes:

  • The cellular product (i.e. hormone produced) is not strictly correlated with the cell type.[4]

Posterior

Features:[4]

  • Herring bodies - key feature.
    • Eosinophilic axonal dilations filled with lysosomes and neurosecretory granules.
  • Less cellular.
    • Usually more cellular in perivascular location.

Image: Herring bodies (ouhsc.edu).

Pituitary adenoma

Features:

  • Loss of fibrous stroma.

Rathke cleft cyst

See Head and neck pathology.
  • Arises from intermediate lobe.

See also

References

  1. http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo.html
  2. 2.0 2.1 http://users.rcn.com/jkimball.ma.ultranet/BiologyPages/P/Pituitary.html
  3. 3.0 3.1 URL: http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/hypopit/histo_pit.html. Accessed on: 31 October 2010.
  4. 4.0 4.1 Perry, Arie; Brat, Daniel J. (2010). Practical Surgical Neuropathology: A Diagnostic Approach: A Volume in the Pattern Recognition series (1st ed.). Churchill Livingstone. pp. 26. ISBN 978-0443069826.

External links