Published in:
01-04-2015
Current status on histological classification in Cushing’s disease
Authors:
Luis V. Syro, Fabio Rotondo, Michael D. Cusimano, Antonio Di Ieva, Eva Horvath, Lina M. Restrepo, Min Wong, Donald W. Killinger, Harley Smyth, Kalman Kovacs
Published in:
Pituitary
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Issue 2/2015
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Abstract
Introduction
Managing Cushing’s disease remains a challenge. Surgery is the first option of treatment and it offers a high success rate. Even in cases where biochemical remission is not achieved, it is crucial to obtain surgical tissue for morphological diagnosis because the therapeutic approach can be modified according to the findings.
Materials and Methods
A literature search was performed using PubMed for information regarding pathology and Cushing’s disease.
Results
The histopathological features found in the pituitary gland of patients with Cushing’s disease are presented.
Conclusion
Different subtypes of ACTH-producing pituitary tumors are recognized and characterized. The significance of finding a normal pituitary gland with or without Crooke’s changes is also discussed.