Burcea I, Poiana C
"C.I. Parhon" National Institute of Endocrinology - Pituitary and Neuroendocrinology, Bucharest, Romania.
"C.I. Parhon" National Institute of Endocrinology - Endocrinology, Bucharest, Romania.
Acta Endocrinol (Buchar). 2020 Apr-Jun;16(2):267-273. doi: 10.4183/aeb.2020.267.
Aggressive pituitary tumors lie between pituitary adenomas and carcinomas, displaying a particular behavior, with invasion, resistance to conventional therapy and early recurrence. The radiological grading, along with prognostic markers such as Ki-67 proliferation index, p53, MGMT and transcription factors are important factors in establishing the benign, aggressive, or malignant nature of pituitary tumors, with a more accurate treatment strategy. In this article, we report the novelties in defining, classifying, and managing aggressive pituitary tumors and their malignant potential, focusing on clinicopathological, histological, molecular and radiological data.
侵袭性垂体肿瘤介于垂体腺瘤和癌之间,表现出特殊的行为,具有侵袭性、对传统治疗的耐药性和早期复发的特点。放射学分级以及诸如Ki-67增殖指数、p53、MGMT和转录因子等预后标志物是确定垂体肿瘤的良性、侵袭性或恶性性质以及制定更准确治疗策略的重要因素。在本文中,我们报告了在定义、分类和管理侵袭性垂体肿瘤及其恶性潜能方面的新进展,重点关注临床病理、组织学、分子和放射学数据。