Difference between revisions of "Pituitary Gland - Pathology"

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==Anatomy and Physiology==
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#REDIRECT[[:Category:Pituitary Gland - Pathology]]
Anatomy and Physiology of the pituitary gland can be found [[Pituitary Gland - Anatomy & Physiology|here]].
 
==General Pathological Principles==
 
Two major changes can occur in an endocrine gland:
 
*'''Failure of hormone production''':
 
**Destruction or lack of cells.
 
**Lack of trophic drive.
 
*'''Overproduction of hormone''':
 
**Hyperplasia or neoplasia.
 
**Excessive trophic drive.
 
 
 
==Pituitary Hypofunction==
 
 
 
===[[Congenital Panhypopituitarism]]===
 
 
 
 
 
 
 
 
 
===[[Pituitary Cysts]]===
 
 
 
 
 
===Pituitary Neoplasia===
 
 
 
Tumours within the pituitary fossa may be functional and sectrete trophic factors.  However, more commonly they are non-functional and are space-occupying lesions.
 
Pressure on neighbouring structures causes clinical signs, for example:
 
*Pressure on the optic chiasma produces ocular signs.
 
*Pressure on the hypothalamus may lead to [[Frohlich's Adiposogenital Syndrome - Pathology|Frohlich's adiposogenital syndrome]].
 
*Pressure on the neurohyposphysis may lead to failure of ADH secretion.  This will allow large volumes of water to be lost form the kidney; [[Diabetes Insipidus]].
 
[[Image:Pituitary tumour.jpg|right|thumb|125px|<small><center>'''Pituitary neoplasia'''. Courtesy of A. Jefferies</center></small>]]
 
Neoplasia may be derived from:
 
*Pituitary itself.
 
*Surrounding brain tissue.
 
*Ependyma.
 
 
 
 
 
====Pituitary neoplasia in the horse====
 
 
 
Neoplasia usually occurs in the ''pars intermedia'' of the anterior pituitary and compresses the hypothalamus. 
 
 
 
''Clinical signs'':
 
*Polyuria and polydipsia.
 
*Increased appetite reulting in increased food intake and downregulation of insulin receptors.  This leads to a hyperglycaemia.
 
*Somnolence.
 
*Muscle wekaness.
 
*Hirsutism.
 
*Hyperhidrosis.
 
 
 
 
 
[[Category:Pituitary Gland - Pathology]]
 
[[Category:Neoplasia]]
 
 
 
 
 
==Pituitary Hyperfunction==
 
[[Gigantism]]
 
 
 
===[[Acromegaly]]===
 

Latest revision as of 13:53, 21 February 2011