Pathogenesis, clinical features, and treatment of plurihormonal pituitary adenoma

Autor: Yunjia Cai, Siyuan Liu, Xue Zhao, Linan Ren, Xinming Liu, Xiaokun Gang, Guixia Wang
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Neuroscience, Vol 17 (2024)
Druh dokumentu: article
ISSN: 1662-453X
DOI: 10.3389/fnins.2023.1323883
Popis: Plurihormonal pituitary adenoma (PPA) is a type of pituitary tumor capable of producing two or more hormones and usually presents as an aggressive, large adenoma. As yet, its pathogenesis remains unclear. This is the first study to systematically summarize the underlying pathogenesis of PPA. The pathogenesis is related to plurihormonal primordial stem cells, co-transcription factors, hormone co-expression, differential gene expression, and cell transdifferentiation. We conducted a literature review of PPA and analyzed its clinical characteristics. We found that the average age of patients with PPA was approximately 40 years, and most showed only one clinical symptom. The most common manifestation was acromegaly. Currently, PPA is treated with surgical resection. However, recent studies suggest that immunotherapy may be a potentially effective treatment.
Databáze: Directory of Open Access Journals