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This book has built on the work that was presented in the previous
Fascicles of the Third and Fourth Series. The authors' vast
experience has led to new understanding of many aspects of
pituitary pathology. With modern immunostaining and molecular
techniques, classification of pituitary disease is becoming easier.
Furthermore, the availability of targeted therapies has augmented
the role of the pathologist in determining an accurate diagnosis.
This updated volume addresses modern techniques and their
application to treatment of pituitary neoplasms but retains the
detailed foundation of morphology in a lushly illustrated tome, the
cornerstone of the AFIP fascicles.
Neuroendocrine neoplasms comprise a large family of proliferative
lesions that involve almost every part of the body. Our
understanding of their cells of origin as well as the pathology,
pathophysiology and genetics of these neoplasms has made tremendous
advances in the last few decades. While they are often discussed as
separate entities in textbooks of gastroenteropancreatic pathology
and pulmonary pathology, their scope is much broader. The book
conveys the similarities and differences of these fascinating
tumors that may be found from the hypothalamus and pituitary to the
rectum, and in soft tissue as well as in many organs. Written by
experts in the field, the authors emphasize their structural,
functional, predictive and prognostic features and attempt to
provide the clinical context that allows improved diagnosis and
therapy while building on the genetics that clarifies patterns of
inheritance and predisposition to tumor development through
precursor lesions. The Spectrum of Neuroendocrine Neoplasia
provides a broad overview of neuroendocrine neoplasms using a
practical approach to diagnosis, histological classification and
therapy, and presents the most important and significant
developments of the technologies used to diagnose, classify and
treat them.
Do you want to be up to date on the latest concepts of diagnosis
and treatment of patients suffering from disorders of the pituitary
gland? Are you looking for an expert guide to the best clinical
management? If so, this is the book for you, providing a full
analysis of pituitary disorder management from acromegaly to
Addison s Disease; from Cushing s Disease to hypopituitarism; from
hormone disorders to hormone replacement Well-illustrated
throughout and with contributions from leading specialists in
pituitary disease, inside you ll find comprehensive and expert
coverage, including: * Diagnosing pituitary disease * Management
options for each disorder * Complications that can occur *
Psychological and psychosocial effects of pituitary disease * What
outcomes you and your patients can expect over the long term *
Current research and clinical trials related to pituitary disease
Pituitary Disorders: Diagnosis and Management is the perfect
clinical tool for physicians and health care providers from many
related disciplines, and an essential companion for the best
quality management of pituitary patients.
The pituitary gland is the "master gland" that regulates many of
the functions of other endocrine glands and their target tissues
throughout the body. There is virtually no organ or tissue that is
not affected, directly or indirectly, by the hormones that are
secreted by the anterior and posterior pituitary. Pituitary
dysfunction is a common clinical scenario. However the
manifestations of pituitary disease vary from florid clinical
features that can readily be identified and recognised as pituitary
in etiology, to more subtle and non-specific problems that are
often overlooked or misdiagnosed, leaving the relationship to
pituitary malfunction unnoticed. The former, conditions such as
florid acromegaly and Cushing's disease, are only a minority of
pituitary pathologies, hence the misconception that pituitary
disease is rare. The most common disorder is the pituitary adenoma,
a lesion that is increasingly recognised as a highly-prevalent
finding identified in up to 20% of the population. Although many of
these are considered to be incidental findings, many have
unrecognised impact on fertility, longevity and quality of life,
and their clinical significance is increasingly gaining attention.
Moreover, the management of these lesions has seen major changes
with the development of new pharmacotherapeutic agents, improved
minimally invasive surgical approaches and targeted
radiotherapeutic techniques. There has been significant progress in
understanding pituitary development, physiology and pathology, and
these are all discussed in this new edition. The classification of
pituitary disease is becoming easier, and as targeted therapies are
being developed, the role of the pathologist in determining
accurate diagnoses is increasingly important. The surgical
pathologist must therefore recognise the important role of
morphologic analysis in classifying sellar pathology for the
diagnosis and management of the pituitary patient.
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