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垂体腺瘤的病理学

Pathology of pituitary adenomas.

作者信息

Kovacs K, Horvath E

出版信息

Bull Los Angeles Neurol Soc. 1977;42(3-4):92-110.

PMID:227505
Abstract

A new pituitary classification has been developed, based on the histologic, histochemical, immunocytologic and electron microscopic investigation of 207 pituitary adenomas removed surgically from male and female patients of various ages and different clinical symptomatology. Based principally on cytogenesis, the classification attempts to correlate the morphologic features of the tumor cells with their secretory activities, the clinical history, symptomatology, and biochemical findings. The classification consists of the following eight entities: 1) growth hormone cell adenoma; 2) prolactin cell adenoma; 3) mixed growth hormone cell-prolactin cell adenoma; 4) acidophil stem cell adenoma; 5) corticotroph cell adenoma; 6) thyrotroph cell adenoma; 7) gonadotroph cell adenoma; 8) undifferentiated cell adenoma, including oncocytoma. Prolactin adenomas were found to be the most frequently occurring pituitary adenoma type.

摘要

基于对207例从不同年龄、不同临床症状的男性和女性患者手术切除的垂体腺瘤进行组织学、组织化学、免疫细胞学和电子显微镜检查,已制定了一种新的垂体分类法。该分类法主要基于细胞发生学,试图将肿瘤细胞的形态学特征与其分泌活动、临床病史、症状和生化检查结果联系起来。该分类包括以下八个实体:1)生长激素细胞腺瘤;2)催乳素细胞腺瘤;3)生长激素细胞-催乳素细胞混合腺瘤;4)嗜酸性干细胞腺瘤;5)促肾上腺皮质激素细胞腺瘤;6)促甲状腺激素细胞腺瘤;7)促性腺激素细胞腺瘤;8)未分化细胞腺瘤,包括嗜酸性细胞瘤。发现催乳素腺瘤是最常见的垂体腺瘤类型。

相似文献

1
Pathology of pituitary adenomas.垂体腺瘤的病理学
Bull Los Angeles Neurol Soc. 1977;42(3-4):92-110.
2
Fine structural features of secretion in adenomas of human pituitary gland.人垂体腺瘤分泌的超微结构特征
Arch Pathol Lab Med. 1980 Oct;104(10):518-22.
3
Pituitary adenomas.垂体腺瘤
Pathol Annu. 1977;12 Pt 2:341-82.
4
A new look at pituitary adenomas: structure elucidating function.垂体腺瘤新视角:结构阐释功能
Can Med Assoc J. 1976 Feb 7;114(3):225-9.
5
[Problem of classification of pituitary adenomas (review of the foreign literature)].[垂体腺瘤的分类问题(国外文献综述)]
Zh Vopr Neirokhir Im N N Burdenko. 1978 Sep-Oct(5):47-55.
6
Pituitary adenomas: clinicopathological and immunohistochemical study.垂体腺瘤:临床病理与免疫组织化学研究
Ann Neurol. 1980 Jan;7(1):24-36. doi: 10.1002/ana.410070107.
7
The hormonal profile of hypophysial adenomas demonstrates the existence of the secretory interdependence of the pituitary cells.
Arch Invest Med (Mex). 1984 Oct-Dec;15(4):317-30.
8
[Functional histopathology of pituitary neoplasms (author's transl)].垂体肿瘤的功能性组织病理学(作者译)
Klin Monbl Augenheilkd. 1977 Feb;170(2):303-13.
9
Immunohistochemical and immunoelectron-microscopic study of pituitary adenomas associated with Cushing's disease. A report of 13 cases.库欣病相关垂体腺瘤的免疫组织化学和免疫电子显微镜研究。13例报告。
Am J Pathol. 1982 Oct;109(1):1-7.
10
Light and electron microscopical morphometry of pituitary adenomas in hyperprolactinemia.高催乳素血症中垂体腺瘤的光镜和电镜形态计量学研究
Pathol Res Pract. 1986 Oct;181(5):544-50. doi: 10.1016/S0344-0338(86)80147-9.

引用本文的文献

1
Pituitary oncocytomas: clinical features, characteristics in cell culture, and treatment recommendations.垂体嗜酸性细胞瘤:临床特征、细胞培养特性及治疗建议
J Neurooncol. 1993 Apr;16(1):39-46. doi: 10.1007/BF01324833.
2
Immunohistochemical and immunoelectron-microscopic study of pituitary adenomas associated with Cushing's disease. A report of 13 cases.库欣病相关垂体腺瘤的免疫组织化学和免疫电子显微镜研究。13例报告。
Am J Pathol. 1982 Oct;109(1):1-7.