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Pituitary Adenomas SMS   3023 Dr. Mohanad r. alwan
Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pituitary Adenomas/  Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Natural History ,[object Object],[object Object],[object Object],[object Object]
Clinical Features of Pituitary Tumors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of adenoma: -  Non-functional  25-35% - Prolactinoma  (Prolactin > 200 ng /dl) (N<14 ng/ml).  25-30% -FSH + LH releasing adenoma.  -ACTH adenoma  10-15% -GH adenoma  20-25% Mixed  5% -TSH adenoma.  Hyperpituitarism  and  Adenomas of Pituitary
Endocrine-Active Pituitary Adenomas ,[object Object],[object Object],[object Object],[object Object]
Non-functioning Adenomas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathologic Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pituitary adenomas ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Pituitary adenome with extensive interstitial and perivascular fibrosis.
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tumor Stages ,[object Object],[object Object],[object Object],[object Object]
Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Prolacinomas  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prolacinomas  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Benign tumor  from ( Rathke's  cleft  – source of adenohypophysis). -Suprasellar expansion. -Often cystic, similar structure as adamantinoma of the jaws. Craniopharyng i oma
Gross picture: Large capsulated solid or cystic mass. Areas of calcification. Microscopic picture: Masses of squamoid and columnar epithelium lining cystic spaces filled with oily fluid in a loose fibrous stroma. Craniopharyng i oma.
Craniopharyng i oma.
Craniopharyng i oma.
Multiple endocrine neoplasia (MEN) I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question????? ,[object Object],[object Object],[object Object],[object Object]

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Lect 2-pitutary tumor(1)

  • 1. Pituitary Adenomas SMS 3023 Dr. Mohanad r. alwan
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Types of adenoma: - Non-functional 25-35% - Prolactinoma (Prolactin > 200 ng /dl) (N<14 ng/ml). 25-30% -FSH + LH releasing adenoma. -ACTH adenoma 10-15% -GH adenoma 20-25% Mixed 5% -TSH adenoma. Hyperpituitarism and Adenomas of Pituitary
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. Pituitary adenome with extensive interstitial and perivascular fibrosis.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.  
  • 19.
  • 20.
  • 21.
  • 22. Benign tumor from ( Rathke's cleft – source of adenohypophysis). -Suprasellar expansion. -Often cystic, similar structure as adamantinoma of the jaws. Craniopharyng i oma
  • 23. Gross picture: Large capsulated solid or cystic mass. Areas of calcification. Microscopic picture: Masses of squamoid and columnar epithelium lining cystic spaces filled with oily fluid in a loose fibrous stroma. Craniopharyng i oma.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.