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Spindle cell oncocytoma of the adenohypophysis : report of a case with marked cellular atypia and recurrence despite adjuvant treatment.

Casar-Borota, Olivera (author)
Umeå universitet,Patologi,Olivera Casar-Borotas publikationer
Scheithauer, B W (author)
Fougner, S Lyngvi (author)
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Hald, J K (author)
Ramm-Pettersen, J (author)
Bollerslev, J (author)
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 (creator_code:org_t)
2009
2009
English.
In: Clinical Neuropathology. - 0722-5091. ; 28:2, s. 91-95
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Spindle cell oncocytoma (SCO) of the adenohypophysis is a recently defined pituitary tumor mimicking a non-functioning macroadenoma and composed of mitochondrion rich tumor cells, positive for S-100, vimentin, epithelial membrane antigen and galectin-3 but lacking cytokeratins, pituitary hormones, and neuroendocrine markers. Derivation from pituitary folliculostellate cells (FSCs) has been suggested based upon immunohistochemical and ultrastructural characteristics shared by SCO and FSCs. 10 cases of SCO have been reported to date; of these, 8 underwent a benign clinical course and 2 recurred. We report a case of SCO with typical histologic and immunohistochemical features in addition to marked cellular pleomorphism and nuclear atypia. It showed slow regrowth over a 30-month period of follow-up despite combined surgical and radiotherapy. Despite the benign course of most reported cases, additional experience with longer follow-up are needed to assess clinical, histopathologic, and proliferative indices and their relevance to optimal therapy for this rare pituitary tumor.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Klinisk laboratoriemedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Clinical Laboratory Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinsk bioteknologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Medical Biotechnology (hsv//eng)

Keyword

Pathology
Patologi

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ref (subject category)
art (subject category)

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Casar-Borota, Ol ...
Scheithauer, B W
Fougner, S Lyngv ...
Hald, J K
Ramm-Pettersen, ...
Bollerslev, J
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Clinical Laborat ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Basic Medicine
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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Clinical Neuropa ...
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Uppsala University
Umeå University

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