Tumors of the hypophysis as the cause of both Cushing's syndrome and diabetes insipidus in dogs]

Invasive tumors of the pituitary gland associated with Cushing's disease and diabetes insipidus are described in ten dogs. All patients showed typical clinical symptoms including polyuria/polydipsia and acanthosis nigricans. All tumors led to compression und partial destruction of the posterior lobe of the pituitary gland and the infundibular stalk; two of them infiltrated the hypothalamic region. All tumors produced ACTH and caused hyperadrenocorticism. In six cases, additional expression of beta-lipoprotein and MSH were found: in pars intermedia adenomas many cells stained strongly for MSH and/or beta-lipoprotein, whereas in tumors of the pars distalis only occasional cells stained positive. The purpose of the present study was to describe the neuropathological findings and the immunohistochemistry of hormone excretion in pituitary tumors in dogs resulting in Cushing's disease associated with D.i., to review the literature and to discuss the pathogenesis.