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Sökning: WFRF:(Syro L V) > (2022) > Clinical Biology of...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004106naa a2200637 4500
001oai:gup.ub.gu.se/316414
003SwePub
008240528s2022 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/3164142 URI
024a https://doi.org/10.1210/endrev/bnac0102 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Melmed, S.4 aut
2451 0a Clinical Biology of the Pituitary Adenoma
264 c 2022-04-08
264 1b The Endocrine Society,c 2022
520 a All endocrine glands are susceptible to neoplastic growth, yet the health consequences of these neoplasms differ between endocrine tissues. Pituitary neoplasms are highly prevalent and overwhelmingly benign, exhibiting a spectrum of diverse behaviors and impact on health. To understand the clinical biology of these common yet often innocuous neoplasms, we review pituitary physiology and adenoma epidemiology, pathophysiology, behavior, and clinical consequences. The anterior pituitary develops in response to a range of complex brain signals integrating with intrinsic ectodermal cell transcriptional events that together determine gland growth, cell type differentiation, and hormonal production, in turn maintaining optimal endocrine health. Pituitary adenomas occur in 10% of the population; however, the overwhelming majority remain harmless during life. Triggered by somatic or germline mutations, disease-causing adenomas manifest pathogenic mechanisms that disrupt intrapituitary signaling to promote benign cell proliferation associated with chromosomal instability. Cellular senescence acts as a mechanistic buffer protecting against malignant transformation, an extremely rare event. It is estimated that fewer than one-thousandth of all pituitary adenomas cause clinically significant disease. Adenomas variably and adversely affect morbidity and mortality depending on cell type, hormone secretory activity, and growth behavior. For most clinically apparent adenomas, multimodal therapy controlling hormone secretion and adenoma growth lead to improved quality of life and normalized mortality. The clinical biology of pituitary adenomas, and particularly their benign nature, stands in marked contrast to other tumors of the endocrine system, such as thyroid and neuroendocrine tumors.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng
653 a pituitary adenoma
653 a acromegaly
653 a prolactinoma
653 a Cushing's disease
653 a aggressive pituitary tumor
653 a hypothalamus
653 a radiological vertebral fractures
653 a mccune-albright syndrome
653 a tumor-transforming gene
653 a growth-hormone hypersecretion
653 a cavernous sinus
653 a space
653 a cushings-syndrome
653 a neuroendocrine tumors
653 a transcription factors
653 a cardiovascular risk
653 a natural-history
653 a Endocrinology & Metabolism
700a Kaiser, U. B.4 aut
700a Lopes, M. B.4 aut
700a Bertherat, J.4 aut
700a Syro, L. V.4 aut
700a Raverot, G.4 aut
700a Reincke, M.4 aut
700a Johannsson, Gudmundur,d 1960u Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine4 aut0 (Swepub:gu)xjgudn
700a Beckers, A.4 aut
700a Fleseriu, M.4 aut
700a Giustina, A.4 aut
700a Wass, J. A. H.4 aut
700a Ho, K. K. Y.4 aut
710a Göteborgs universitetb Institutionen för medicin4 org
773t Endocrine Reviewsd : The Endocrine Societyg 43:6, s. 1003-1037q 43:6<1003-1037x 0163-769Xx 1945-7189
8564 8u https://gup.ub.gu.se/publication/316414
8564 8u https://doi.org/10.1210/endrev/bnac010

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