Tortosa Francisco, Webb Susan M
Servicio de Anatomía Patológica, CHLN, EPE - Hospital de Santa María, Lisboa, Portugal; Departamento de Medicina/Endocrinología, Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Centro de Investigación Biomédica En Red de Enfermedades Raras (CIBERER, Unidad 747), ISCIII, Universitat Autònoma de Barcelona (UAB), Barcelona, España.
Departamento de Medicina/Endocrinología, Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau, Centro de Investigación Biomédica En Red de Enfermedades Raras (CIBERER, Unidad 747), ISCIII, Universitat Autònoma de Barcelona (UAB), Barcelona, España.
Endocrinol Diabetes Nutr. 2017 Mar;64(3):152-161. doi: 10.1016/j.endinu.2016.10.004. Epub 2017 Feb 23.
The sellar and parasellar region is a complex anatomical area in which several diseases may develop. The pituitary gland may be affected by a wide range of conditions having similar clinical characteristics. Diagnosis of these lesions requires a multidisciplinary approach including, in addition to clinical, laboratory, imaging, and surgical findings, histological diagnosis of pituitary adenomas to guide therapeutic management. As the result of development in recent years of new immunohistochemical techniques, histopathological classification has become more complex and wide, and not only continues to be the gold standard in diagnosis, but also has prognostic implications. The aim of this review is to provide a clear and simple update of the main concepts of histological diagnosis of the most common pituitary conditions, especially for professionals in direct contact with such diseases.
鞍区和鞍旁区域是一个复杂的解剖区域,可发生多种疾病。垂体可能受到多种具有相似临床特征的病症影响。这些病变的诊断需要多学科方法,除,除临床、实验室、影像学和手术结果外,还需要垂体腺瘤的组织学诊断来指导治疗管理。由于近年来新免疫组织化学技术的发展,组织病理学分类变得更加复杂和广泛,不仅仍然是诊断的金标准,而且具有预后意义。本综述的目的是提供关于最常见垂体病症组织学诊断主要概念的清晰、简单的更新,特别是为直接接触此类疾病的专业人员提供。