GH adenoma Flashcards

1
Q

fancy name?

A

somatotrophs

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2
Q

presentation in pre-pubertal/post?

A
pre = gigantism
post = acromegally
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3
Q

features of acromegally?

A
large hands and feet
coarse face, large tongue and uvula -> sleep apnea
arthropathies
LVH -> arrhythmias
DM
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4
Q

mass effects

A

hydrocephalus

opthalmophegia

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5
Q

diagnosis

A

increased levels of IGF-1

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6
Q

treatment

A

surgery plusminus octreotide

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7
Q

genetic factors

A

MEN-1 and Carney’s complex

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8
Q

describe high density mono-hormonal cells

A

cuboid epi, monomorphic, R/O nuclei

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9
Q

describe low density mono-hormonal cells

A

pleomorphic and fibrous bodies that produce keratin

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10
Q

describe multi-hormonal cells, individual type

A

mammosomatotrophs, densely granulated

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11
Q

describe multi-hormonal cells, multiple type

A

mixed tumor

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