Dr. S. K. Vijayasarathi Head, Pathology Advinus, Bangalore
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1 PITUITARY IN PRECLINICAL TOXICOLOGY Dr. S. K. Vijayasarathi Head, Pathology Advinus, Bangalore
2 Disclaimer The ideas and thoughts expressed in this presentation are purely that of the presenter and do not necessarily reflect the thinking of the organization or represented by the presenter.
3
4 Anatomy and Histology
5 Normal Pituitary Gland Pd Pi Pn Pn: pars nervosa, Pi: pars intermedia, Pd: pars distalis
6 Histology Comparison Pd Rat Mouse Pd Pi Pi Pn Pn Rabbit Dog Pd PT PI Pi PN Pn PD
7 Histology Comparison Dog 20x
8 Pituitary Gross Lesions ü Discoloration ü Focus/foci ü Enlarged ü Mass
9 Gross Lesions
10 Common Histopathological Findings NON-PROLIFERATIVE LESIONS Congenital changes ü Dilatation/Persistence of Rathke s Pouch / Cleft ü Stomatodeal remnants in neurohypophysis Vascular changes ü Hemangiectasis ü Hemorrhage ü Thrombosis Inflammatory changes ü Inflammation Miscellaneous changes ü Cysts/Hemocyst
11 PROLIFERATIVE LESIONS qpars Distalis üfocal hypertrophy üfocal hyperplasia üadenoma ücarcinoma qpars Intermedia ühyperplasia ühypertrophy üadenoma qpars Nervosa üpituicytoma Tumor of Embryonic Remnant ücraniopharyngioma
12 Induced Lesions qpars Distalis/Pars Intermedia ühypertrophy/hyperplasia üatrophy üincreased no. of vacuolated cells
13 Congenital changes Dilatation/Persistence of Rathke s Pouch / Cleft ümay be located in pars distalis, pars intermedia, or pars nervosa üoften associated withrathke s cleft üepithelial lining is usually ciliated but can be squamous, cuboidal, or columnar occasional lesion
14 Congenital changes Persistence of Rathke s Pouch
15 Congenital changes Stomatodeal remnants in neurohypophysis üconsisting of duct like structure of varying sizes ülined by cuboidal/columnar type of epithelium üoccasionally lumen may contains secretions
16 Congenital changes 10x 20x Stomatodeal remnants in neurohypophysis
17 Vascular changes Hemangiectasis üdilated, blood-filled spaces lined by endothelium üusually present in pars distalis ümay be accompanied by proteinaceous fluid or hemorrhage
18 Vascular changes 40X Hemangiectasis
19 Vascular changes Hemorrhage üfree erythrocytes outside of vascular channels ümay be accompanied by hemosiderin-laden macrophages, cholesterol clefts, and fibrosis if long-standing
20 Vascular changes 20X Hemorrhage - pars distalis
21 Vascular changes Thrombosis üsolid mass within lumen of blood vessels ücomposed of fibrin and platelets, and may contain trapped erythrocytes
22 Inflammatory changes Inflammation - Rare üinflammatory celluar infiltrate üin acute cases, inflammatory cells are predominantly neutrophils üin chronic cases, inflammatory cells are plasma cells and lymphocytes ücell degeneration or loss
23 Miscellaneous changes Cysts/hemocyst üsimple or multilocular ücommon in pars distalis ü Usually contain eosinophilic to amphophilic mucoproteinaceous material ü Single layer of cuboidal to columnar epithelium ü Epithelial lining is generally ciliated and contain mucous cells
24 Miscellaneous changes 20X 20X Cyst
25 Miscellaneous changes 20X 10X Multiple Cyst Hemocyst
26
27 PROLIFERATIVE LESIONS In routine long-term rat studies neoplasms of the pituitary gland are among the most commonly encountered in most strains The vast majority of these neoplasms occurs in the pars distalis
28 PARS DISTALIS Focal hypertrophy üslightly delineated focus or area üno apparent compression üindistinct borders ücells enlarged due to increase in eosinophilic cytoplasm-droplets or vacuoles ünuclei normal or enlarged
29 PARS DISTALIS 20X 40X Focal hypertrophy- Pars distalis
30 PARS DISTALIS Focal hyperplasia üfocal proliferation ülittle or no compression ürelatively indistinct borders ücells slightly larger and paler than normal ünuclei often similar to normal cells üoccasional "normal" cell types interspersed in focus
31 PARS DISTALIS 40X 40X Focal hyperplasia- Pars distalis
32 PARS DISTALIS 40X 40X Focal hyperplasia- Pars distalis
33 PARS DISTALIS Adenoma ügrowth by expansion with prominent compression üsharp delineation from normal areas ücells usually larger with abundant, pale cytoplasm ü Nuclei more vesicular üvariety of architectural patterns diffuse, angiomatous. glandular, pseudofollicular. Pleomorphic
34 PARS DISTALIS 4X 20X Adenoma Pars distalis
35 PARS DISTALIS 20X 20X Adenoma Pars distalis
36 PARS DISTALIS 4X 10X Adenoma Pars distalis
37 PARS DISTALIS 10X 40X Adenoma Pars distalis
38 PARS DISTALIS 40X 4X Adenoma Pars distalis
39 PARS DISTALIS Carcinoma ümorphologically similar to adenoma ürarely metastasize ülocal invasion into brain
40 PARS INTERMEDIA Atrophy üdecreased width/small sized cells Hypertrophy üdiffuse broadening of intermediate zone ülarge sized cells üpale in color Hyperplasia üdiffuse broadening of intermediate zone ünormal cell morphology üpresence of mitotic figure
41 PARS INTERMEDIA Adenoma Non-encapsulated and poorly circumscribed Cells extend into other /ones of gland Cells larger and more basophilic than normal Nuclear pleomorphism common Lobular or whorled pattern Single/multiple
42 PARS INTERMEDIA 20X 20X Normal Atrophy Atrophy Pars intermedia
43 PARS INTERMEDIA Male Mice 4X 4X Normal Hypertrophy Hypertrophy Pars intermedia
44 PARS INTERMEDIA Female Mice 4X 4X Normal Hypertrophy Hypertrophy Pars intermedia
45 PARS INTERMEDIA 20X 20X Adenoma Pars intermedia
46 PARS NERVOSA Pituicytoma ücircumscribed, nonencapsulated üdense packets of spindle cells üindistinct cords and interlacing bundles ü Dark ovoid to round nuclei and minimal indistinct cytoplasm ünuclear pleomorphism seen in some regions üfoci of mineralization sometimes present
47 Tumor of Embryonic Remnant Craniopharyngioma ükeratinizing squamous epithelium ücells arranged in cords, columns, nests ücystic spaces filled with keratin and debris üinvasion of brain or pituitary tissue
48 LYMPHORETICULAR/ HEMOPOIETIC SYSTEM TUMOR 20X 20X Lymphoma; malignant; multicentric
49 LYMPHORETICULAR/ HEMOPOIETIC SYSTEM TUMOR 40X Lymphoma; malignant; multicentric
50 LYMPHORETICULAR/ HEMOPOIETIC SYSTEM TUMOR 40X 100X Myeloid leukemia; malignant; multicentric
51 NTP Historical Controls Data - June 2013 All Routes & Vehicles - Overall Incidence Location Pars Distalis or Unspecified Site Lesion Adenoma Carcinoma Carcinoma or Adenoma Rats/ Fischer 344N Rats/ Fischer 344N TAC Species/Strain Rats/ Wistar Han Rats/ Harlan Sprague Dawley Mice/ B6C3F1 M F M F M F M F M F 408/698 (58.45%) 4/698 (0.57%) 412/698 (59.03%) 411/699 (58.8%) 11/699 (1.57%) 422/699 (60.37%) 53/100 (53%) 52/100 (52%) 54/149 (36.24%) 88/150 (58.67%) /100 (53%) 52/100 (52%) 54/149 (36.24%) 88/150 (58.67%) 5/50 (10%) 0/50 (0%) 5/50 (10%) 35/102 (34.31%) 2/102 (1.96%) 37/102 (36.27%) 3/933 (0.32%) 0/933 (0%) 3/933 (0.32%) 72/933 (7.72%) 1/933 (0.11%) 73/933 (7.82%) Ganglioneuroma 1/698 (0.14%) 1/699 (0.14%) Pars Intermedia Adenoma Carcinoma or Adenoma 2/698 (0.29%) 2/698 (0.29%) 3/699 (0.43%) 3/699 (0.43%) /149 (3.36%) 5/149 (3.36%) 7/150 (4.67%) 7/150 (4.67%) /933 (0.21%) 2/933 (0.21%) 7/933 (0.75%) 7/933 (0.75%) Pars Nervosa Craniopharyngioma 0/698 (0%) 1/699 (0.14%) *: Denominator is number of animals with tissues examined microscopically
52
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