Null Cell Adenoma

Author(s):  
Vania Nosé
Author(s):  
S. Arumugam ◽  
Sarasa Bharati Arumugam

Adenoaas of the pituitary are no longer classified based on their tinctorial affinity to dyes. With the advent of the newer methods of sophisticated technology, it is now possible to classify. These depending upon the type of hormone secreted based either on histochemical techniques or on ultrastructural characteristics. The latter provides an insight into the cytoplasmic organelle morphology which offers a delightful feast to the eye as well.This paper presents the ultrastructural characters of the pituitary adenoma as seen in Madras. 171 adenomas (124 males and 47 females) were seen during 1972-1989, classified at the light microscope level as 159 chromophobe, 2 basophilic, 4 eosinophilic and 6 mixed adenomas.Ultrastructural examination showed that the sparsely granular prolactin cell adenoma is the commonest adenoma to be encountered closely followed by the growth hormone cell adenoma, null cell adenoma, the mixed cell adenoma and others.


2017 ◽  
Vol 78 (4) ◽  
pp. 314
Author(s):  
I. Bayar ◽  
Y. Hasni ◽  
A. Ben Abdelkrim ◽  
M. Kacem ◽  
M. Chaieb ◽  
...  

2011 ◽  
Vol 114 (2) ◽  
pp. 336-344 ◽  
Author(s):  
Gabriel Zada ◽  
Whitney W. Woodmansee ◽  
Shakti Ramkissoon ◽  
Jordan Amadio ◽  
Vania Nose ◽  
...  

Object The 2004 WHO classification of pituitary adenomas now includes an “atypical” variant, defined as follows: MIB-1 proliferative index greater than 3%, excessive p53 immunoreactivity, and increased mitotic activity. The authors review the incidence of this atypical histopathological subtype and its correlation with tumor subtype, invasion, and surgical features. Methods The records of 121 consecutive patients who underwent transsphenoidal surgery for pituitary adenomas during an 18-month period were retrospectively reviewed for evidence of atypical adenomas. Results Eighteen adenomas (15%) met the criteria for atypical lesions; 17 (94%) of the 18 were macroadenomas. On imaging, 15 (83%) demonstrated imaging evidence of surrounding invasion, compared with 45% of typical adenomas (p = 0.004). Atypical tumors occurred in 12 female (67%) and 6 male (33%) patients. Patient age ranged from 16 to 70 years (mean 48 years). Nine patients (50%) had hormonally active tumors, and 9 had nonfunctional lesions. Four (22%) of the 18 patients presented to us with recurrent tumors. Immunohistochemical analysis demonstrated the following tumor subtypes: GH-secreting adenoma with plurihormonal staining (5 patients [28%]); null-cell adenoma (5 patients [28%]); silent ACTH tumor (3 patients [17%]), ACTH-staining tumor with Cushing's disease (2 patients [11%]), prolactinoma (2 patients [11%]), and silent FSH-staining tumor (1 patient [6%]). The MIB-1 labeling index ranged from 3% to 20% (mean 7%). Conclusions Atypical tumors were identified in 15% of resected pituitary adenomas, and they tended to be aggressive, invasive macroadenomas. More longitudinal follow-up is required to determine whether surgical outcomes, potential for recurrence, or metastasis of atypical adenomas vary significantly from their typical counterparts.


1991 ◽  
Vol 84 (10) ◽  
pp. 1239-1242 ◽  
Author(s):  
JOSEPH C. CHAO ◽  
CESAR V. REYES ◽  
MUMTAZ CHINOY

2014 ◽  
Vol 151 (1) ◽  
pp. 51-56 ◽  
Author(s):  
M.D. Chalkley ◽  
M. Kiupel ◽  
A.C.E. Draper

2014 ◽  
Vol 119 (2) ◽  
pp. 307-315 ◽  
Author(s):  
Jie Feng ◽  
Lichuan Hong ◽  
Yonggang Wu ◽  
Chuzhong Li ◽  
Hong Wan ◽  
...  

2018 ◽  
Vol 13 (4) ◽  
pp. 677-680
Author(s):  
Vikram Singh ◽  
Kirti Gupta ◽  
Pravin Salunke ◽  
Sivashanmugam S. Dhandapani

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