Skip to main content

Advertisement

Log in

Ganglioglioma of the Neurohypophysis

  • Published:
Endocrine Pathology Aims and scope Submit manuscript

Abstract

The normal infundibulum and neurohypophysis consist entirely of neuronal processes, the neuronal cell bodies of which lie within the supraoptic and paraventricular nuclei of the hypothalamus and supportive glial cells or pituicytes. The finding of neurons within the neurohypophysis is exceedingly rare, as are ganglion cell tumors at this site. In this paper, we report a ganglion cell tumor of the neurohypophysis found incidentally at autopsy. Despite chronic hypertension and the finding of some vasopressin immunoreactivity in lesional neurons, the syndrome of inappropriate antidiuretic hormone secretion (SIADH) was excluded on the basis of normal serum sodium levels. The morphologic and immunohistochemical features of the tumor are presented, cytogenetic considerations are discussed, and literature regarding neuronal lesions of the pituitary gland is reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Scheithauer BW. The hypothalamus and neurohypophysis (Chapter 10). In: Kovacs K, Asa SL, eds. Functional endocrine pathology. Malden: Blackwell Science, pp. 171–246, 1998.

    Google Scholar 

  2. Fuller GN, Wesseling P. Granular cell tumour of the neurohypophysis. In: Louis DN, Wiestler O, Ohgaki H, eds. World Health Organization classification of tumours: Pathology and genetics—tumours of the nervous system. Lyon: IARC, pp. 241–2, 2007.

    Google Scholar 

  3. Wesseling P, Brat DJ, Fuller GN. Pituicytoma. In: Louis DN, Wiestler O, Ohgaki H, et al, eds. World Health Organization classification of tumours: Pathology and genetics—tumours of the nervous system. Lyon: IARC, pp. 243–4, 2007.

    Google Scholar 

  4. Scheithauer BW, Hawkins C, Tihan T, Vandenberg SR, Burger PC. Pilocytic astrocytoma. In: Louis DN, Wiestler O, Ohgaki H, et al, eds. World Health Organization classification of tumours: Pathology and genetics—tumours of the nervous system. Lyon: IARC, pp. 14–21, 2007.

    Google Scholar 

  5. Horvath E, Kovacs K, Tran A, Scheithauer BW. Ganglion cells in the posterior pituitary: result of ectopia or transdifferentiation? Acta Neuropathol 100(1):106–10, 2000.

    Article  PubMed  CAS  Google Scholar 

  6. Fehn M, Lohmann F, Ludecke DK, Rudorff KH, Saeger W. Ganglioglioma of the neurohypophysis with secretion of vasopressin. Exp Clin Endocrinol Diabetes 106(5):425–30, 1998.

    PubMed  CAS  Google Scholar 

  7. Scheithauer BW, Horvath E, Kovacs K. Ultrastructure of the neurohypophysis. Microsc Res Tech 20(2):177–86, 1992.

    Article  PubMed  CAS  Google Scholar 

  8. Costello RT. Subclinical adenoma of the pituitary gland. Am J Pathol 12:205, 1936.

    Google Scholar 

  9. Scheithauer BW, Kovacs K, Randall RV, Horvath E, Okazaki H, Laws ER Jr. Hypothalamic neuronal hamartoma and adenohypophyseal neuronal choristoma: their association with growth hormone adenoma of the pituitary gland. J Neuropathol Exp Neurol 42(6):648–63, 1983.

    Article  PubMed  CAS  Google Scholar 

  10. Asa SL, Scheithauer BW, Bilbao JM, Horvath E, Ryan N, Kovacs K, et al. A case for hypothalamic acromegaly: a clinicopathological study of six patients with hypothalamic gangliocytomas producing growth hormone-releasing factor. J Clin Endocrinol Metab 58(5):796–803, 1984.

    Article  PubMed  CAS  Google Scholar 

  11. Geddes JF, Jansen GH, Robinson SF, Gomori E, Holton JL, Monson JP. ‘Gangliocytomas’ of the pituitary: a heterogeneous group of lesions with differing histogenesis. Am J Surg Pathol 24(4):607–13, 2000.

    Article  PubMed  CAS  Google Scholar 

  12. Puchner MJ, Ludecke DK, Saeger W, Riedel M, Asa SL. Gangliocytomas of the sellar region—a review. Exp Clin Endocrinol Diabetes 103(3):129–49, 1995.

    PubMed  CAS  Google Scholar 

  13. Asa SL, Kovacs K, Tindall GT, Barrow DL, Horvath E, Vecsei P. Cushing’s disease associated with an intrasellar gangliocytoma producing corticotrophin-releasing factor. Ann Intern Med 101(6):789–93, 1984.

    PubMed  CAS  Google Scholar 

  14. Li JY, Racadot O, Kujas M, Kouadri M, Peillon F, Racadot J. Immunocytochemistry of four mixed pituitary adenomas and intrasellar gangliocytomas associated with different clinical syndromes: acromegaly, amenorrhea–galactorrhea, Cushing’s disease and isolated tumoral syndrome. Acta Neuropathol 77(3):320–8, 1989.

    Article  PubMed  CAS  Google Scholar 

  15. Saeger W, Puchner MJ, Ludecke DK. Combined sellar gangliocytoma and pituitary adenoma in acromegaly or Cushing’s disease. A report of 3 cases. Virchows Arch 425(1):93–9, 1994.

    Article  PubMed  CAS  Google Scholar 

  16. Bodi I, Martin AJ, Connor SE, Thomas NW, Lantos PL. Mixed pituitary gangliocytoma/adenoma (prolactinoma) with histogenetic implications. Neuropathol Appl Neurobiol 28(3):252–5, 2002.

    Article  PubMed  CAS  Google Scholar 

  17. Matsuno A, Nagashima T. Prolactin-secreting gangliocytoma. J Neurosurg 95(1):167–8, 2001.

    PubMed  CAS  Google Scholar 

  18. Serri O, Berthelet F, Belair M, Vallette S, Asa SL. An unusual association of a sellar gangliocytoma with a prolactinoma. Pituitary 11:85–7, 2007.

    Article  Google Scholar 

  19. Bevan JS, Asa SL, Rossi ML, Esiri MM, Adams CB, Burke CW. Intrasellar gangliocytoma containing gastrin and growth hormone-releasing hormone associated with a growth hormone-secreting pituitary adenoma. Clin Endocrinol (Oxf) 30(3):213–24, 1989.

    Article  CAS  Google Scholar 

  20. Kurosaki M, Saeger W, Ludecke DK. Intrasellar gangliocytomas associated with acromegaly. Brain Tumor Pathol 19(2):63–7, 2002.

    Article  PubMed  Google Scholar 

  21. Horvath E, Kovacs K, Scheithauer BW, Lloyd RV, Smyth HS. Pituitary adenoma with neuronal choristoma (PANCH): composite lesion or lineage infidelity? Ultrastruct Pathol 18(6):565–74, 1994.

    Article  PubMed  CAS  Google Scholar 

  22. Thapar K, Kovacs K, Stefaneanu L, Scheithauer B, Killinger DW, Lioyd RV, et al. Overexpression of the growth-hormone-releasing hormone gene in acromegaly-associated pituitary tumors. An event associated with neoplastic progression and aggressive behavior. Am J Pathol 151(3):769–84, 1997.

    PubMed  CAS  Google Scholar 

  23. Lach B, Rippstein P, Benott BG, Staines W. Differentiating neuroblastoma of pituitary gland: neuroblastic transformation of epithelial adenoma cells. Case report. J Neurosurg 85(5):953–60, 1996.

    PubMed  CAS  Google Scholar 

  24. Okazaki Y, Katsuta O, Yokoyama M, Wako Y, Yamagishi Y, Tsuchitani M. Gangliocytoma with immature neuronal cell elements in the pituitary of a rat. J Vet Med Sci 59(9):833–6, 1997.

    Article  PubMed  CAS  Google Scholar 

  25. MacKenzie F, Boorman GA. Pituitary gland. In: Boorman GA, Eustis SL, Elwell MR, et al, eds. Pathology of the Fischer rat: reference and atlas. San Diego, CA: Academic Press, pp. 485–500, 1990.

    Google Scholar 

  26. Hortobagyi T, Honavar M, Selway R, Al-Sarraj S. Desmoplastic ganglioglioma with meningiomatous and myofibroblastic components presenting with epilepsy. Neuropathol Appl Neurobiol 34:118–23, 2007.

    PubMed  Google Scholar 

  27. Raffo S, Rubio A, Rodenhouse TG, Patel U, Bonfigilo T, Powers JM. September 2001: 51-year-old man with seizures since childhood. Brain Pathol 12(1):137–9, 2002.

    PubMed  Google Scholar 

  28. Brat DJ, Gearing M, Goldthwaite PT, Wainer BH, Burger PC. Tau-associated neuropathology in ganglion cell tumours increases with patient age but appears unrelated to ApoE genotype. Neuropathol Appl Neurobiol 27(3):197–205, 2001.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to B. W. Scheithauer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scheithauer, B.W., Silva, A.I., Parisi, J.E. et al. Ganglioglioma of the Neurohypophysis. Endocr Pathol 19, 112–116 (2008). https://doi.org/10.1007/s12022-008-9030-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12022-008-9030-6

Keywords

Navigation