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库欣病的组织学分类现状。

Current status on histological classification in Cushing's disease.

机构信息

Department of Neurosurgery, Hospital Pablo Tobon Uribe, Clinica Medellin and Group of Genetics, Regeneration and Cancer, Universidad de Antioquia, Medellín, Colombia,

出版信息

Pituitary. 2015 Apr;18(2):217-24. doi: 10.1007/s11102-014-0619-0.

DOI:10.1007/s11102-014-0619-0
PMID:25501318
Abstract

INTRODUCTION

Managing Cushing's disease remains a challenge. Surgery is the first option of treatment and it offers a high success rate. Even in cases where biochemical remission is not achieved, it is crucial to obtain surgical tissue for morphological diagnosis because the therapeutic approach can be modified according to the findings.

MATERIALS AND METHODS

A literature search was performed using PubMed for information regarding pathology and Cushing's disease.

RESULTS

The histopathological features found in the pituitary gland of patients with Cushing's disease are presented.

CONCLUSION

Different subtypes of ACTH-producing pituitary tumors are recognized and characterized. The significance of finding a normal pituitary gland with or without Crooke's changes is also discussed.

摘要

简介

库欣病的治疗仍然具有挑战性。手术是治疗的首选方法,其成功率较高。即使未能达到生化缓解,获得手术组织进行形态学诊断也至关重要,因为可以根据检查结果修改治疗方法。

材料和方法

使用 PubMed 进行文献检索,以获取有关病理学和库欣病的信息。

结果

呈现了库欣病患者垂体中发现的组织病理学特征。

结论

识别和描述了不同亚型的 ACTH 分泌性垂体肿瘤。还讨论了发现正常垂体伴有或不伴有 Crooke 样变的意义。

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1
Current status on histological classification in Cushing's disease.库欣病的组织学分类现状。
Pituitary. 2015 Apr;18(2):217-24. doi: 10.1007/s11102-014-0619-0.
2
Crooke's Changes In Cushing's Syndrome Depends on Degree of Hypercortisolism and Individual Susceptibility.库欣综合征中的克鲁克氏改变取决于皮质醇增多症的程度和个体易感性。
J Clin Endocrinol Metab. 2015 Aug;100(8):3165-71. doi: 10.1210/JC.2015-2493. Epub 2015 Jul 6.
3
Approach to the postoperative patient with Cushing's disease.库欣病术后患者的处理方法。
Pituitary. 2015 Apr;18(2):232-7. doi: 10.1007/s11102-015-0644-7.
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Rare case of Cushing's disease due to double ACTH-producing adenomas, one located in the pituitary gland and one into the stalk.由双分泌促肾上腺皮质激素腺瘤引起的库欣病罕见病例,其中一个腺瘤位于垂体,另一个位于垂体柄。
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Outcomes and management of patients with Cushing's disease without pathological confirmation of tumor resection after transsphenoidal surgery.经蝶窦手术后未获得肿瘤切除病理证实的库欣病患者的结局与管理
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Pathophysiology and treatment of subclinical Cushing's disease and pituitary silent corticotroph adenomas [Review].亚临床库欣病和垂体无功能促肾上腺皮质激素腺瘤的病理生理学与治疗 [综述]
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Long-term remission of cyclic Cushing's disease that was diagnosed and treated surgically in non-active phase.在非活动期诊断并接受手术治疗的周期性库欣病的长期缓解。
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Endocr Oncol. 2022 Apr 7;2(1):19-31. doi: 10.1530/EO-21-0026. eCollection 2022 Jan.
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Risks of Developing Diabetes and Hyperglycemic Crisis Following Carbon Monoxide Poisoning: A Study Incorporating Epidemiologic Analysis and Animal Experiment.一氧化碳中毒后发生糖尿病和高血糖危机的风险:一项结合流行病学分析和动物实验的研究
Clin Epidemiol. 2022 Nov 1;14:1265-1279. doi: 10.2147/CLEP.S380990. eCollection 2022.
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Sparsely Granulated Corticotroph Pituitary Macroadenoma Presenting With Pituitary Apoplexy Resulting in Remission of Hypercortisolism.

本文引用的文献

1
Treatment of Cushing's disease: a mechanistic update.库欣病的治疗:机制更新
J Endocrinol. 2014 Nov;223(2):R19-39. doi: 10.1530/JOE-14-0300. Epub 2014 Aug 18.
2
Aggressive pituitary adenomas--diagnosis and emerging treatments.侵袭性垂体腺瘤——诊断和新兴治疗方法。
Nat Rev Endocrinol. 2014 Jul;10(7):423-35. doi: 10.1038/nrendo.2014.64. Epub 2014 May 13.
3
Somatostatin receptor ligands and resistance to treatment in pituitary adenomas.生长抑素受体配体与垂体腺瘤治疗抵抗。
稀疏颗粒性促肾上腺皮质激素垂体大腺瘤伴垂体卒中导致皮质醇增多症缓解。
AACE Clin Case Rep. 2022 Apr 8;8(4):166-170. doi: 10.1016/j.aace.2022.04.003. eCollection 2022 Jul-Aug.
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Significance of Crooke's Hyaline Change in Nontumorous Corticotrophs of Patients With Cushing Disease.库欣病患者无肿瘤性促肾上腺皮质激素细胞中的克劳特透明变性的意义。
Front Endocrinol (Lausanne). 2021 Mar 18;12:620005. doi: 10.3389/fendo.2021.620005. eCollection 2021.
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Cushing's Disease.库欣病
J Clin Med. 2019 Nov 12;8(11):1951. doi: 10.3390/jcm8111951.
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Clinicopathological significance of baseline T2-weighted signal intensity in functional pituitary adenomas.功能性垂体腺瘤基线 T2 加权信号强度的临床病理意义。
Pituitary. 2018 Aug;21(4):347-354. doi: 10.1007/s11102-018-0877-3.
7
Increased expression of the microRNA 106b~25 cluster and its host gene MCM7 in corticotroph pituitary adenomas is associated with tumor invasion and Crooke's cell morphology.促肾上腺皮质激素垂体腺瘤中 microRNA 106b~25 簇及其宿主基因 MCM7 的表达增加与肿瘤侵袭和 Crooke 细胞形态有关。
Pituitary. 2017 Aug;20(4):450-463. doi: 10.1007/s11102-017-0805-y.
8
Clinical Impact of the Current WHO Classification of Pituitary Adenomas.世界卫生组织现行垂体腺瘤分类的临床影响
Endocr Pathol. 2016 Jun;27(2):104-14. doi: 10.1007/s12022-016-9418-7.
9
Clinicopathological predictive factors in the early remission of corticotroph pituitary macroadenomas in a tertiary referral centre.三级转诊中心促肾上腺皮质激素垂体大腺瘤早期缓解的临床病理预测因素
Eur J Endocrinol. 2016 Apr;174(4):539-49. doi: 10.1530/EJE-15-1226. Epub 2016 Jan 25.
J Mol Endocrinol. 2014 Jun;52(3):R223-40. doi: 10.1530/JME-14-0011. Epub 2014 Mar 19.
4
Management of endocrine disease: clinicopathological classification and molecular markers of pituitary tumours for personalized therapeutic strategies.内分泌疾病的管理:垂体肿瘤的临床病理分类和分子标志物,用于制定个体化治疗策略。
Eur J Endocrinol. 2014 Mar 13;170(4):R121-32. doi: 10.1530/EJE-13-1031. Print 2014 Apr.
5
High response rates and prolonged survival in patients with corticotroph pituitary tumors and refractory Cushing disease from capecitabine and temozolomide (CAPTEM): a case series.卡培他滨和替莫唑胺治疗促肾上腺皮质激素垂体瘤及难治性库欣病患者的高缓解率和延长生存期(CAPTEM):病例系列
Neurosurgery. 2014 Apr;74(4):E447-55; discussion E455. doi: 10.1227/NEU.0000000000000251.
6
Expression of somatostatin receptors, SSTR2A and SSTR5, in 108 endocrine pituitary tumors using immunohistochemical detection with new specific monoclonal antibodies.应用新的特异性单克隆抗体免疫组化检测 108 例内分泌性垂体瘤中生长抑素受体 SSTR2A 和 SSTR5 的表达。
Hum Pathol. 2014 Jan;45(1):71-7. doi: 10.1016/j.humpath.2013.08.007. Epub 2013 Oct 31.
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Therapeutic implications of accurate classification of pituitary adenomas.准确分类垂体腺瘤的治疗意义。
Semin Diagn Pathol. 2013 Aug;30(3):158-64. doi: 10.1053/j.semdp.2013.06.002.
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Efficacy of medical treatment in Cushing's disease: a systematic review.库欣病治疗效果的系统评价。
Clin Endocrinol (Oxf). 2014 Jan;80(1):1-12. doi: 10.1111/cen.12345. Epub 2013 Nov 12.
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Factitious Cushing's syndrome masquerading as Cushing's disease.假性库欣综合征伪装为库欣病。
Clin Endocrinol (Oxf). 2014 Mar;80(3):328-32. doi: 10.1111/cen.12343. Epub 2013 Oct 25.
10
Update in the medical therapy of Cushing's disease.库欣病的医学治疗进展。
Curr Opin Endocrinol Diabetes Obes. 2013 Aug;20(4):330-4. doi: 10.1097/MED.0b013e3283631809.