Endo Pathology Flashcards

1
Q

what is name for benign endocrine neoplasms?

A

adenomas

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2
Q

what is name for malignant endocrine neoplasms?

A

adenocarcinoma

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3
Q

is the ant pit or post pit darker on HE stain?

A

ant pit is dark and post pit is lighter

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4
Q

what is most common cell in ant pit?

A

somatotrophs

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5
Q

name three things the pituitary can impinge on if growing?

A

optic chiasm
cavernous sinus
CSF

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6
Q

if pituitary impinges on optic chiasm, what happens?

A

bitemporal hemianopia

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7
Q

if pituitary impinges on cavernous sinus , what happens?

A

cranial nerve 3456 palsies

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8
Q

are pituitary adenomas usually in ant or post pit?

A

ant

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9
Q

are pituitary adenomas usually monoclonal or multiclonal in hormonal secretion?

A

monoclonal

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10
Q

what are the two size classes of pituitary adenomas?

A

micro and macro…cutoff is 1 cm

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11
Q

what is a craniopharyngioma?

A

neoplasm in kids that arises from remnants of Rathkes pouch

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12
Q

how does craniopharyngioma present?

A

mass effects

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13
Q

what is the characteristic makeup of craniopharyngioma ?

A

will have solid and cystic components

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14
Q

what can be seen on X ray with craniopharyngioma ?

A

calcifications

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15
Q

what vascular issues can lead to pituitary issues?

A

ischemic necrosis and pituitary apoplexy

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16
Q

what causes of ischemic necrosis can affect the pituitary?

A

postpartum hypotension, DIC, shock, sickle cell

17
Q

does ischemic necrosis lead to hypo or hyperpituitarism?

A

hypo

18
Q

what is it called when postpartum necrosis of the pituitary happens?

A

sheehan syndrome

19
Q

what is pituitary apoplexy/

A

sudden expanding hemorrhage that includes pituitary cells

20
Q

loss of posterior pituitary leads to what issue?

A

central diabetes insipidus

21
Q

what is the usual cause of posterior pituitary problems?

A

destruction of the tissue from mass effect or necrosis

22
Q

what mass effect causing things can lead to posterior pituitary issues?

A

ant pit neoplasms and craniopharyngioma