Hormone production andc-myc protein labeling in plurihormonal pituitary adenomas

The biological activity of plurihormonal pituitary adenomas was compared with that of tumors producing only one hormone by evaluating the percentage ofc- myc protein-labeled cells and ultrastructural characteristics. Twenty-five pituitary adenomas producing 3 or more hormones and 14 adenomas producing only I hormone were studied. Tissue sections were stained immunohistochemically using antibodies for pituitary hormones andc- myc protein, and they were examined by electronmicroscopy. DNA extracted from ethanol-fixed, paraffinembedded tissue was analyzed for p53 mutations by polymerase chain reaction and singlestrand conformation polymorphism analysis. The percentage ofc- myc protein-labeled cells in adenomas producing 4 or 5 pituitary hormones was significantly higher (p < 0.01 ) than in those producing 3 or 1 hormones. There were no p53 mutations in plurihormonal adenomas. Pituitary adenomas producing 4 or 5 pituitary hormones demonstrate biological aggressiveness; therefore, multihormone production reflects aggressive capacity rather than degree of differentiation.