S-Space College of Medicine/School of Medicine (의과대학/대학원) Neurosurgery (신경외과학전공) Journal Papers (저널논문_신경외과학전공)
Pituitary adenoma with rich folliculo-stellate cells and mucin-producing epithelia arising in a 2-year-old girl
- Min, Hye Sook; Lee, Seung June; Kim, Seung-Ki; Park, Sung-Hye
- Issue Date
- Blackwell Publishing
- Pathol Int. 2007 Sep;57(9):600-5.
- ACTH-Secreting Pituitary Adenoma/*pathology/secretion/surgery; Child, Preschool; Cytoplasm/ultrastructure; Disease Progression; Female; Glial Fibrillary Acidic Protein/metabolism; Humans; Keratins/metabolism; Magnetic Resonance Imaging; Mucins/*secretion; Pituitary Neoplasms/*pathology/secretion/surgery; S100 Proteins/metabolism; Tomography, X-Ray Computed; Treatment Outcome; Tumor Markers, Biological/metabolism
- Pituitary adenoma is a rare neoplasm in childhood, with prolactin and adrenocorticotropic hormone (ACTH)-secreting adenomas predominating in this age group. Herein is reported a case of an ACTH-producing macroadenoma with an unusual histology that occurred in a 2-year-old girl. Because of the patient's age and the macroadenoma's suprasellar location and large size (up to 4 cm in diameter), radical surgery was performed under the suspicion of craniopharyngioma or germ-cell tumor. Pathologically, it was a unique pituitary adenoma composed of monotonous ACTH-producing cells, smaller folliculo-stellate cells (FSC), and mucin-producing cells. The FSC, non-hormone-secreting pituitary cells of uncertain function, were confirmed by their S-100 protein, glial fibrillary acidic protein and cytokeratin expression immunoprofiles. The abrupt transition between the prominent gland-forming mucin-producing epithelia and the FSC component suggested that the mucin-producing epithelia might be derived from the FSC. This association might represent so-called 'retrodifferentiation' of adenoma cells to the FSC and the precursor cells of Rathke's pouch.
- 1320-5463 (Print)
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