下垂体腺瘤:生物学,命名和临床分类
Ken K Y Ho1,2, Shlomo Melmed3
1The Garvan Institute of Medical Research and St. Vincent's Hospital, Sydney, Australia. k.ho@garvan.org.au.
Reviews in endocrine & metabolic disorders
|January 25, 2025
概括
世界卫生组织将垂体腺瘤重新分类为神经内分泌瘤 (NETs),这一变化因其临床影响而受到批评. 一个新的分类系统整合了多个因素,以更好地管理垂体腺瘤.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 垂体腺瘤通常被称为上皮组织的良性瘤.
- 2022年世界卫生组织分类将垂体腺瘤重新命名为神经内分泌瘤 (NET),将瘤学标签应用于良性瘤.
- 由于不良的临床影响和误导性内涵,这一变化受到质疑.
研究的目的:
- 为了解决将垂体腺瘤重新命名为NETs的临床影响.
- 开发一种新的,临床相关的垂体腺瘤分类系统.
- 为指导垂体腺瘤的预后和治疗.
主要方法:
- 批评世卫组织的名称从垂体腺瘤变为NETs.
- 开发一个新的临床分类系统,用于垂体腺瘤.
- 整合临床,遗传,生物化学,放射学,病理学和分子数据.
主要成果:
- 世卫组织对NET的分类变化被认为是任意的,可能导致过度治疗和患者焦虑.
- 已经开发了一个新的临床分类系统用于垂体腺瘤.
- 该系统整合了各种数据,提供了指导管理的累积风险评分.
结论:
- 将垂体腺瘤更名为NETs是有问题的,缺乏临床益处,并可能造成伤害.
- 一个新的基于证据的临床分类系统提供了一个标准化的方法来管理垂体腺瘤.
- 这个系统整合了超越组织病理学的多个因素,以评估疾病严重程度和指导治疗.
相关概念视频
The Pituitary Gland
6.3K
The pituitary is a small endocrine organ in the sphenoid bone under the hypothalamus. Primarily, the pituitary in adults has two distinct anatomical and functional regions— the anterior and posterior lobes. During human fetal development, a third pituitary gland region called the pars intermedia atrophies and disappears. However, some of its cells migrate and exist adjacent to the anterior pituitary in adults.
6.3K
Adrenal Gland Disorders
1.3K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.3K
Hormones of the Pituitary Gland
6.2K
The small, pea-sized pituitary gland is located at the base of the brain. It is crucial in regulating various bodily functions, from growth to reproduction. The gland is divided into the anterior lobe and the posterior lobe. The secretory cell clusters in the pars distalis of the anterior pituitary lobe are controlled by hypothalamic regulators and synthesize six primary hormones.
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
6.2K
Adrenergic Agonists: Therapeutic Classification
703
Adrenergic agonists can be classified based on their therapeutic uses and mechanisms of action. They serve various purposes in clinical applications.
Vasopressor or pressor agents: They increase blood pressure and function as cardiac stimulants. Examples include endogenous catecholamines (norepinephrine and dopamine) and synthetic agents (phenylephrine).
Bronchodilators: β2-agonists can relax bronchial muscles and widen airways. They are commonly used for treating obstructive pulmonary...
Vasopressor or pressor agents: They increase blood pressure and function as cardiac stimulants. Examples include endogenous catecholamines (norepinephrine and dopamine) and synthetic agents (phenylephrine).
Bronchodilators: β2-agonists can relax bronchial muscles and widen airways. They are commonly used for treating obstructive pulmonary...
703
Adrenergic Receptors (Adrenoceptors): Classification
2.2K
Adrenergic receptors, or adrenoceptors, respond to the autonomic neurotransmitter noradrenaline and other endogenous catecholamine agonists. They are classified into two main families, α and β, based on their pharmacological response and are further subdivided depending on their location, elicited response, and affinity to specific agonists or antagonists.
α-Adrenoceptors
α-Adrenoceptors are classified into two main subtypes: α1 and α2. The α1 adrenoceptors,...
α-Adrenoceptors
α-Adrenoceptors are classified into two main subtypes: α1 and α2. The α1 adrenoceptors,...
2.2K
Adrenergic Antagonists: Chemistry and Classification of ɑ-Receptor Blockers
803
Adrenergic antagonists, or sympatholytics, inhibit adrenoceptor activation driven by catecholamines or agonists. Based on their adrenoceptor specificity, adrenergic blockers can be categorized into two primary groups: α-adrenergic blockers (α-blockers) and β-adrenergic blockers (β-blockers). α-blockers interact with α1 and α2 subtypes of α-adrenoceptors.
Nonselective α-blockers: Nonselective α-blockers contain haloalkylamine or imidazoline...
Nonselective α-blockers: Nonselective α-blockers contain haloalkylamine or imidazoline...
803


