40 likes | 324 Views
Pituitary disease. Hyperfunction: arises because of an actively secreting adenoma or a hypothalamic tumour inducing hypersecretion Hypofunction: results from destruction of normal tissue by an adenoma or other mass lesion, an infarct, or following surgical or radiation therapy.
E N D
Pituitary disease • Hyperfunction: arises because of an actively secreting adenoma or a hypothalamic tumour inducing hypersecretion • Hypofunction: results from destruction of normal tissue by an adenoma or other mass lesion, an infarct, or following surgical or radiation therapy
Effects of pituitary adenomas • hypersecretion of one or more hormones • prolactin 30% • ACTH 15% • growth hormone 15% • growth hormone + prolactin 10% • FSH + LH (low levels) 15% • mass effects • reduced secretion of other anterior pituitary hormones • diabetes insipidus • visual disturbances • headaches • signs of raised intracranial pressure
Macroscopic and microscopic appearance of a pituitary adenoma Images from WebPath