Xanthomatous Hypophysitis Is Associated with Ruptured Rathke's Cleft Cyst.

Abstract:

:Xanthomatous hypophysitis is a rare inflammatory disease of the pituitary gland that can mimic a neoplastic lesion clinically and radiologically. Its pathogenesis remains largely unknown, although recent evidence suggests that pituitary inflammation may occur as a secondary reaction to mucous content released from a ruptured cyst. In a series of 1221 pituitary specimens, we identified seven cases of xanthomatous hypophysitis. Six patients had complete radiological and biochemical workup preoperatively: a cystic-appearing pituitary mass was identified in all six patients (100%) with a mean size of 2.0 cm (range 1.4-2.5 cm) on imaging, and pituitary endocrine dysfunction was noted in five patients (83.3%). In all cases, the pituitary mass was resected through an endoscopic transsphenoidal approach. Pathological examination revealed the presence of foamy macrophages admixed with variable amounts of giant cells and chronic inflammatory cells, confirming the diagnosis of xanthomatous hypophysitis. Additionally, all cases presented with concurrent findings of ruptured Rathke's cleft cyst, with the exception of one patient who had previous surgery for a Rathke's cleft cyst, followed by recurrence and diagnosis of xanthomatous hypophysitis. While accurate distinction of hypophysitis from a pituitary neoplasm can be problematic in the preoperative setting, the identification of a cystic lesion in the sella turcica should raise the possibility of such an entity in the clinical and radiological differential diagnosis. The current series provides further evidence that xanthomatous hypophysitis predominantly occurs as a secondary reaction to a ruptured Rathke's cleft cyst; thus, it is best classified as a secondary (reactive) hypophysitis.

journal_name

Endocr Pathol

journal_title

Endocrine pathology

authors

Duan K,Asa SL,Winer D,Gelareh Z,Gentili F,Mete O

doi

10.1007/s12022-017-9471-x

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

83-90

issue

1

eissn

1046-3976

issn

1559-0097

pii

10.1007/s12022-017-9471-x

journal_volume

28

pub_type

杂志文章
  • Pancreatic Neuroendocrine Carcinoma Metastatic to the Breast as Part of the Multiple Endocrine Neoplasia Type 1 Syndrome.

    abstract::Breast metastases from nonmammary tumors are rare. We report here the first case of pancreatic neuroendocrine carcinoma metastatic to the breast in a patient with possible multiple endocrine neoplasia type 1. The diagnosis was supported by histological examination, immunohistochemistry, and ultrastructural analysis. T...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02738793

    authors: Treilleux I,Freyer G,Tabone E,Chassagne-Clement C,Bremond A,Bailly C

    更新日期:1997-10-01 00:00:00

  • Diffuse sclerosing variant of papillary thyroid carcinoma: a clinicopathologic and immunophenotypic analysis of 22 cases.

    abstract:BACKGROUND:The diffuse sclerosing variant of papillary thyroid carcinoma (DSV-PTC) is an uncommon tumor making up about 2% of all papillary thyroid carcinomas. Previous studies have not comprehensively evaluated these tumors in a large series of patients. DESIGN:Twenty-two cases of DSV-PTC diagnosed between 1970 and 2...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:16:4:331

    authors: Thompson LD,Wieneke JA,Heffess CS

    更新日期:2005-01-01 00:00:00

  • Ectopic thymic tissue in the thyroid gland.

    abstract::A case of ectopic thymic tissue of the thyroid in a 30-year-old woman with Graves' disease is reported. The thyroidectomy specimen, removed because of failure of medical therapy, showed a continuous track of thymic tissue extending from the center of the gland to the capsule along an interiobular septum. This finding ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02915305

    authors: Mizukami Y,Nanomura A,Michigishi T,Noguchi N,Nakamura S

    更新日期:1993-09-01 00:00:00

  • Thyroid peroxidase immunohistochemistry in differential diagnosis of thyroid tumors.

    abstract::Thyroperoxidase (TPO) is a thyroid-specific enzyme expressed by differentiated thyroid cells. Initial immunohistochemical studies claimed that TPO expression, detected by the monoclonal antibody mAb 47, may be a potentially important diagnostic tool in differentiating malignant from benign lesions. However, some recen...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:17:1:53

    authors: Savin S,Cvejic D,Isic T,Petrovic I,Paunovic I,Tatic S,Havelka M

    更新日期:2006-04-01 00:00:00

  • GNAq mutations are not identified in papillary thyroid carcinomas and hyperfunctioning thyroid nodules.

    abstract::Activating mutations of GNAq protein in a hotspot at codon 209 have been recently described in uveal melanomas. Since these neoplasms share with thyroid carcinomas a high frequency of MAP kinase pathway-activating mutations, we hypothesized whether GNAq mutations could also play a role in the development of thyroid ca...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-010-9129-4

    authors: Cassol CA,Guo M,Ezzat S,Asa SL

    更新日期:2010-12-01 00:00:00

  • Discordant secretion of calcitonin and chromogranin in the human medullary thyroid carcinoma cell line.

    abstract::A cell fine of human medullary carcinoma of the thyroid, abundantly producing calcitonin (Ct) and related hormones, has proved remarkably useful as an endocrine tumor model for the study of the secretion mechanism. This cell line (TT cell) was used in studies to elucidate the dynamics of the release of Ct and chromogr...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02915322

    authors: Kameya T,Kadoya K,Iguchi H,Abe Y,Shimaoka K

    更新日期:1991-03-01 00:00:00

  • Microvessel density in human normal and neoplastic parathyroids.

    abstract::Objective. Information on angiogenesis in parathyroid pathology is scanty and in particular no data are available in parathyroid carcinomas. The aim of this study was to analyze angiogenesis as microvascular density (MVD) in parathyroid neoplastic progression from normal gland to adenoma and carcinoma. Methods. Sectio...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:17:2:175

    authors: Viacava P,Bocci G,Fanelli G,Cetani F,Marcocci C,Bevilacqua G,Naccarato AG

    更新日期:2006-07-01 00:00:00

  • Immunohistochemical expression of neuroendocrine secretory protein-55 (NESP-55) in pituitary adenomas.

    abstract::Neuroendocrine secretory protein-55 (NESP-55) is a recently described member of the chromogranin family and appears to be a marker of the constitutive secretory pathway in certain neural, neuroendocrine, and endocrine cell types. It has been shown to be selectively expressed in tumors differentiating towards the adren...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-011-9162-y

    authors: Gupta M,Lloyd RV,Fischer-Colbrie R,Tischler AS,Dayal Y

    更新日期:2011-09-01 00:00:00

  • Pleomorphic leiomyosarcoma of the adrenal gland with osteoclast-like giant cells.

    abstract::Pleomorphic leiomyosarcoma (PLMS) of the adrenal gland is a rare tumor in an unusual location. A primary PLMS of the left adrenal gland is reported in a 59-yr-old Mexican woman who presented progressive flank pain and weight loss. The tumor measured 16 cm in diameter, showed markedly pleomorphic and osteoclast-like gi...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:16:1:075

    authors: Candanedo-González FA,Vela Chávez T,Cérbulo-Vázquez A

    更新日期:2005-04-01 00:00:00

  • Rapid Reticulin Fiber Staining Method is Helpful for the Diagnosis of Pituitary Adenoma in Frozen Section.

    abstract::Approximately 90% of neoplasms found in the sellar region are adenoma of the pituitary gland. The use of frozen sections for the diagnosis of pituitary adenomas has an accuracy of 90% and is useful in evaluating complete tumor removal. However, it is sometimes difficult to diagnose pituitary adenomas using frozen sect...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-015-9370-y

    authors: Noh S,Kim SH,Cho NH,Kim SH

    更新日期:2015-05-01 00:00:00

  • Localized adiposity of the thyroid, clinically mimicking an adenoma.

    abstract::A case of localized adiposity of the thyroid in a 35-year-old woman with a long history of steroid therapy for nephrotic syndrome is reported. A well-demarcated yellowish mass measuring 2 cm in diameter was found in the upper portion of the right lobe of the thyroid. Microscopically, this lesion was composed of mature...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02915212

    authors: Morizumi H,Sano T,Tsuyuguchi M,Yoshinarl T,Morimoto S

    更新日期:1991-12-01 00:00:00

  • Synchronous occurrence of medullary and papillary carcinoma of the thyroid in a patient with cutaneous melanoma: determination of BRAFV600E in peripheral blood and tissues. Report of a case and review of the literature.

    abstract::The purpose of this study is to describe a case of concurrent medullary and papillary thyroid carcinoma (MTC and PTC) and cutaneous melanoma and to analyze BRAF(V600E) mutation in plasma and tissues. We report the clinical history and the laboratory, imaging, and histopathological findings of a 47-year-old man affecte...

    journal_title:Endocrine pathology

    pub_type: 杂志文章,评审

    doi:10.1007/s12022-014-9303-1

    authors: Fibbi B,Pinzani P,Salvianti F,Rossi M,Petrone L,De Feo ML,Panconesi R,Vezzosi V,Bianchi S,Simontacchi G,Mangoni M,Pertici M,Forti G,Pupilli C

    更新日期:2014-09-01 00:00:00

  • Programmed Death-Ligand 1 (PD-L1) Is a Potential Biomarker of Disease-Free Survival in Papillary Thyroid Carcinoma: a Systematic Review and Meta-Analysis of PD-L1 Immunoexpression in Follicular Epithelial Derived Thyroid Carcinoma.

    abstract::The expression of programmed death-ligand 1 (PD-L1) is an established prerequisite for the administration of checkpoint inhibitor therapy and is of prognostic value in several cancer types. Data concerning the potential effect of PD-L1 on the prognosis of thyroid carcinoma are limited. Therefore, this study aimed to p...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-020-09630-5

    authors: Girolami I,Pantanowitz L,Mete O,Brunelli M,Marletta S,Colato C,Trimboli P,Crescenzi A,Bongiovanni M,Barbareschi M,Eccher A

    更新日期:2020-09-01 00:00:00

  • Expression of Simple Mucin Type Antigens and Lewis Type 1 and Type 2 Chain Antigens in the Thyroid Gland: An Immunohistochemical Study of Normal Thyroid Tissues, Benign Lesions, and Malignant Tumors.

    abstract::In order to characterize the pattern of expression of carbohydrate structures in several types of thyroid tissues and to evaluate the putative usefulness of the detection of such antigens in diagnostic surgical pathology, we undertook the immunohistochemical study of simple mucin type antigens (T, Tn, and sialyl Tn), ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739836

    authors: Fonseca E,Castanhas S,Sobrinho-Simoes M

    更新日期:1996-01-01 00:00:00

  • Capsular Invasion Matters Also in "Papillary Patterned" Tumors: A Study on 121 Cases of Encapsulated Conventional Variant of Papillary Thyroid Carcinoma.

    abstract::Papillary thyroid carcinoma (PTC) is the most common type of thyroid malignancy. Some PTCs with classical papillae can be totally or partially encapsulated, and these tumors are called "encapsulated" (conventional) variant of papillary thyroid carcinoma. We aimed to investigate the clinicopathological features of this...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-020-09650-1

    authors: Akbulut D,Kuz ED,Kursun N,Dizbay Sak S

    更新日期:2021-01-04 00:00:00

  • Prognostic Significance of CD44 and Orthopedia Homeobox Protein (OTP) Expression in Pulmonary Carcinoid Tumours.

    abstract::CD44 and orthopedia homeobox protein (OTP) expressions have shown to be predictive of overall survival in pulmonary carcinoid (PC) tumours. The scope of the present study was to validate their role in PC patients and investigate potential application in clinical practice. Data was collected from patients presenting to...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-016-9459-y

    authors: Papaxoinis G,Nonaka D,O'Brien C,Sanderson B,Krysiak P,Mansoor W

    更新日期:2017-03-01 00:00:00

  • BRAF mutation is unusual in chronic lymphocytic thyroiditis-associated papillary thyroid carcinomas and absent in non-neoplastic nuclear atypia of thyroiditis.

    abstract::Chronic lymphocytic thyroiditis (CLT) has an epidemiological relationship to papillary thyroid carcinoma (PTC). The follicular epithelium in CLT can be markedly atypical, with cytologic changes ranging from oncocytic morphology to clearing and overlapping. At the molecular level, the association between CLT and PTC is...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:17:3:235

    authors: Sargent R,LiVolsi V,Murphy J,Mantha G,Hunt JL

    更新日期:2006-10-01 00:00:00

  • Synchronous Multiple Pituitary Neuroendocrine Tumors of Different Cell Lineages.

    abstract::We report clinicopathological features of a large series of synchronous multiple pituitary neuroendocrine tumors (PitNETs) of different cell lineages. Retrospective review of pathology records from 2001 to 2016 identified 13 synchronous multiple PitNETs from 1055 PitNETs classified using pituitary cell-lineage transcr...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-018-9545-4

    authors: Mete O,Alshaikh OM,Cintosun A,Ezzat S,Asa SL

    更新日期:2018-12-01 00:00:00

  • Increased Expression of GARP in Papillary Thyroid Carcinoma.

    abstract::Regulatory T cells (Tregs) are immunosuppressive immune cells that play an important role in tumor development. Suppression of Treg function is considered to be an effective strategy for cancer therapy. Glycoprotein A repetitions predominant (GARP) has been found on the surface of activated Tregs. GARP has been recent...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-018-9557-0

    authors: Zhang X,Guo M,Yang J,Zheng Y,Xiao Y,Liu W,Ren F

    更新日期:2019-03-01 00:00:00

  • Insulin-like growth factor mRNA binding protein 3 (IMP3) is differentially expressed in benign and malignant follicular patterned thyroid tumors.

    abstract::Insulin-like growth factor mRNA binding protein 3 (IMP3) is an mRNA-binding protein that regulates transcription of insulin-like growth factor II affecting cell proliferation during embryogenesis. It is highly expressed in carcinomas of the pancreas, stomach, colon, rectum, kidneys, uterine cervix, lung, and ovary. Th...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-009-9079-x

    authors: Slosar M,Vohra P,Prasad M,Fischer A,Quinlan R,Khan A

    更新日期:2009-10-01 00:00:00

  • Giant amyloid goiter in Crohn's disease.

    abstract::Crohn's disease is one of the causes of secondary amyloidosis, which can lead to amyloid infiltration of the thyroid gland. It is essential to follow strict controls to prevent the appearance of a large amyloid goiter. Two patients with amyloid goiter secondary to Crohn's disease, with a large adipose tissue component...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-012-9220-0

    authors: Febrero B,Ríos A,Rodríguez JM,Ferri B,Polo L,Parrilla P

    更新日期:2012-12-01 00:00:00

  • The ret-Activating Ligand GDNF Is Differentiative and Not Mitogenic for Normal and Neoplastic Human Chromaffin Cells In Vitro.

    abstract::Activating mutations of the receptor tyrosine kinase, ret, are associated with multiple endocrine neoplasia type 2A (MEN 2A). However, the mechanisms leading to tumor development are unclear. Glial-derived neurotrophic factor (GDNF) activates wild-type ret via interaction with a second receptor, GFR a-l. We have utili...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739692

    authors: Powers JF,Tsokas P,Tischler AS

    更新日期:1998-01-01 00:00:00

  • Expression and clinical significance of Wnt players and survivin in pituitary tumours.

    abstract::Deregulation of the Wnt pathway has been implicated in oncogenesis of numerous tissues including the pituitary gland. Immunohistochemical localization and quantification of β-catenin, Cyclin D1, c-MYC and Survivin expression in 47 pituitary adenomas (35 non-functioning, seven GH-secreting, three prolactinomas, two ACT...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-012-9197-8

    authors: Formosa R,Gruppetta M,Falzon S,Santillo G,DeGaetano J,Xuereb-Anastasi A,Vassallo J

    更新日期:2012-06-01 00:00:00

  • Isolated multiple bilateral thyroid metastases from prostatic adenocarcinoma: case report and literature review.

    abstract::Solitary metastasis from prostate adenocarcinoma to thyroid gland is very rare and usually associated with other distal metastasis. This report describes for the first time isolated multiple bilateral thyroid metastasis from prostatic adenocarcinoma. A 67-year-old man who is known as a case of prostatic adenocarcinoma...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-013-9232-4

    authors: Albsoul NM,Obeidat FN,Hadidy AM,Alzoubi MN,Taib AA,Shahait AD

    更新日期:2013-03-01 00:00:00

  • Cribriform morular variant of papillary thyroid carcinoma in a patient with an incidental neck lump: a case report and review of the literature.

    abstract::The cribriform morular variant of papillary thyroid carcinoma (CMV-PTC) is a rare morphologic entity that is associated with familial adenomatous polyposis (FAP). We report a case of a young lady with an incidentally discovered right-sided neck nodule on ultrasonography with a diagnosis of CMV-PTC confirmed on thyroid...

    journal_title:Endocrine pathology

    pub_type: 杂志文章,评审

    doi:10.1007/s12022-013-9274-7

    authors: Yeoh EC,Lim LC,Ng SB,Tan KY,Rajasoorya C

    更新日期:2014-09-01 00:00:00

  • BRAF(V600E) mutation analysis from May-Grünwald Giemsa-stained cytological samples as an adjunct in identification of high-risk papillary thyroid carcinoma.

    abstract::The BRAF(V600E) mutation is specific for thyroid papillary cancer (PTC) and correlates with PTCs invasiveness. This study investigated whether detection of BRAF(V600E) mutation can be performed on routinely stained FNABs. We also examined if establishment of the BRAF(V600E) mutation could help in identification of pat...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-011-9180-9

    authors: Patel A,Klubo-Gwiezdzinska J,Hoperia V,Larin A,Jensen K,Bauer A,Vasko V

    更新日期:2011-12-01 00:00:00

  • Expression of somatostatin type 2A receptor correlates with estrogen receptor in human breast carcinoma.

    abstract::Somatostatin type 2A receptor (sstr2A) has been shown to be directly involved in the transduction of antiproliferative effects and also to be the most predominant sstr subtype in human normal breast epithelium, as well as in human breast carcinoma. We investigated the immunoreactivity of sstr2A in 34 cases of human br...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:11:1:57

    authors: Pilichowska M,Kimura N,Schindler M,Suzuki A,Yoshida R,Nagura H

    更新日期:2000-04-01 00:00:00

  • Prevalence and Prognostic Significance of Neuroendocrine Differentiation in Colorectal Carcinomas.

    abstract::The prognostic significance of neuroendocrine differentiation in colorectal carcinoma is uncertain. We analyzed 289 moderately differentiated (grades II and Ill) colorectal carcinomas for neuroendocrine differentiation by immunohistochemistry and in situ hybridization. The tumors were divided into three groups based o...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739950

    authors: Lloyd RV,Schroeder G,Bauman MD,Krook JE,Jin L,Goldberg RM,Farr GH Jr

    更新日期:1998-04-01 00:00:00

  • Primary aldosteronism with aldosterone-producing adenoma consisting of pure zona glomerulosa-type cells in a pregnant woman.

    abstract::Aldosterone-producing adenoma (APA) consisting of pure zona glomerulosa (ZG)-type cells is extremely rare, and primary aldosteronism complicated by pregnancy is also rare. We report a case of APA discovered in a 32-year-old pregnant woman who visited our hospital for hypertension and hypokalemia at 26 weeks gestation....

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-009-9060-8

    authors: Shigematsu K,Nishida N,Sakai H,Igawa T,Suzuki S,Kawai K,Takahara O

    更新日期:2009-04-01 00:00:00

  • Argininosuccinate Synthetase-1 (ASS1) Loss in High-Grade Neuroendocrine Carcinomas of the Urinary Bladder: Implications for Targeted Therapy with ADI-PEG 20.

    abstract::High-grade neuroendocrine carcinomas (HGNECs) of the urinary bladder encompass small cell (SCNEC) and large cell neuroendocrine carcinomas (LCNEC). Currently, recommended initial management is with systemic chemotherapy, followed by consolidative therapy with either radical cystectomy or radiotherapy in patients with ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-018-9516-9

    authors: Gupta S,Sahu D,Bomalaski JS,Frank I,Boorjian SA,Thapa P,Cheville JC,Hansel DE

    更新日期:2018-09-01 00:00:00