Difference between revisions of "Pituitary gland"

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64 bytes added ,  10:15, 30 September 2022
→‎Pituitary adenoma: Starting Update on 2022 WHO classification
(→‎gangliocytoma: update according WHO2017)
(→‎Pituitary adenoma: Starting Update on 2022 WHO classification)
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=Specific entities=
=Specific entities=
==Pituitary adenoma==
==Pituitary neuroendocrine tumor (PitNET)==
Old terminology '''Pituitary adenoma''' is depreceated
===General===
===General===
*Clinical:<ref>{{Ref PBoD8|1100}}</ref>
*Clinical:<ref>{{Ref PBoD8|1100}}</ref>
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**Tumor of adults.
**Tumor of adults.


Classification:
Morphologic Classification:
#Microadenoma <= 1 cm.
#Microadenoma <= 1 cm.
#Macroadenoma 1-4 cm.
#Macroadenoma 1-4 cm.
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*Smears very well.<ref>MUN. 24 November 2010.</ref>
*Smears very well.<ref>MUN. 24 November 2010.</ref>


The WHO 2017 Classification of tumours of endocrine organs recoginizes following tumours:<ref>{{Cite journal | last1 = Lopes | first1 = MBS. | title = The 2017 World Health Organization classification of tumors of the pituitary gland: a summary. | journal = Acta Neuropathol | volume = 134 | issue = 4 | pages = 521-535 | month = Oct | year = 2017 | doi = 10.1007/s00401-017-1769-8 | PMID = 28821944 }}</ref>
The WHO 2022 Classification of tumours of endocrine organs recoginizes following tumours:<ref>{{cite journal |vauthors=Asa SL, Mete O, Perry A, Osamura RY |title=Overview of the 2022 WHO Classification of Pituitary Tumors |journal=Endocr Pathol |volume=33 |issue=1 |pages=6–26 |date=March 2022 |pmid=35291028 |doi=10.1007/s12022-022-09703-7 |url=}}</ref>




{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
! Adenoma type
! PitNET lineage
! PitNET type
! subtypes
! subtypes
! Hormone secretion
! Hormone secretion
! Transcription factor
! Transcription factor
|-
|-
|
| Somatotroph adenoma
| Somatotroph adenoma
| Densely and sparsely granulated adenoma, Mammosomatotroph adenoma, Mixed GH and PRL adenoma
| Densely and sparsely granulated adenoma, Mammosomatotroph adenoma, Mixed GH and PRL adenoma
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| PIT1
| PIT1
|-
|-
|
| Lactotroph adenoma
| Lactotroph adenoma
| Densely and sparsely granulated adenoma, Acidophilic stem cell adenoma
| Densely and sparsely granulated adenoma, Acidophilic stem cell adenoma
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| PIT1, [[Estrogen receptor|ER]]
| PIT1, [[Estrogen receptor|ER]]
|-
|-
|
| Thyrotroph adenoma
| Thyrotroph adenoma
|
|
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| PIT1, [[Estrogen receptor|ER]]
| PIT1, [[Estrogen receptor|ER]]
|-
|-
|
| Corticotroph adenoma
| Corticotroph adenoma
| Densely and sparsely granulated adenoma, Crooke cell adenoma
| Densely and sparsely granulated adenoma, Crooke cell adenoma
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| TPIT
| TPIT
|-
|-
|
| Gonadotroph adenoma
| Gonadotroph adenoma
| Sparsely granulated adenoma
| Sparsely granulated adenoma
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| SF1, [[Estrogen receptor|ER]], GATA2
| SF1, [[Estrogen receptor|ER]], GATA2
|-
|-
|
| Null cell adenoma
| Null cell adenoma
|
|
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