raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:91349

Non-functioning pituitary adenoma

Synonyms: NFPA

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare pituitary tumor originating from normally hormone-producing cells of the adenohypophysis, characterized by a sellar or extrasellar mass manifesting with clinical signs secondary to mass effect, but without evidence for hormonal hypersecretion. Typical manifestations are visual disturbances, headaches, cranial nerve dysfunction, and hypopituitarism but the mass may also be discovered incidentally.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNon-functioning pituitary adenomaNFPA
frAdénome hypophysaire non fonctionnel= en
deHypophysenadenom, nicht-funktionelles= en
esAdenoma hipofisario no secretor= en
itAdenoma ipofisario non funzionante= en
nlNiet-functioneel hypofyseadenoom= en
ptAdenoma hipofisário não-secretor= en
plNieczynny gruczolak przysadki= en
csHormonálně neaktivní adenom hypofýzy= en
ukНефункціонуюча аденома гіпофіза= en
zh非功能性垂体腺瘤= en
trİşlevsiz hipofiz adenomu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10D35.2NTBTattributedvalidated
ICD-112F37.0Especificvalidated
MONDO0019613Evalidated
UMLSC0338078Evalidated
MedDRA10029556Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

Children (2):

4

Genes

0 direct · 4 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AIPORPHA:314786Silent pituitary adenomaMajor susceptibility factor inAssessedHGNC:358ENSG0000011071160555511q13.2AHR interacting HSP90 co-chaperone23321498[PMID]
AIPORPHA:314790Null pituitary adenomaMajor susceptibility factor inAssessedHGNC:358ENSG0000011071160555511q13.2AHR interacting HSP90 co-chaperone23321498[PMID]
MEN1ORPHA:314786Silent pituitary adenomaMajor susceptibility factor inAssessedHGNC:7010ENSG0000013389561373311q13.1menin 123321498[PMID]
MEN1ORPHA:314790Null pituitary adenomaMajor susceptibility factor inAssessedHGNC:7010ENSG0000013389561373311q13.1menin 123321498[PMID]
5

Prevalence and incidence

9 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-5 / 10 000—EuropeClass onlyValidatedORPHANET_26072284[PMID]
Annual incidence1-9 / 100 0004 / 100 000FinlandValue and classValidated20534753[PMID]
Annual incidence1-9 / 100 0001.1 / 100 000SwedenValue and classValidated10770176[PMID]
Point prevalence6-9 / 10 00094 / 100 000BelgiumValue and classValidated16968795[PMID]
Point prevalence6-9 / 10 00080.5 / 100 000SwitzerlandValue and classValidated19968031[PMID]
Point prevalence6-9 / 10 00077.6 / 100 000United KingdomValue and classValidated19650784[PMID]
Point prevalence6-9 / 10 00068 / 100 000FinlandValue and classValidated20534753[PMID]
Annual incidence1-9 / 100 0002.55 / 100 000EuropeValue and classNot yet validatedORPHANET_25946030[PMID]_20534753[PMID]_10770176[PMID]
Annual incidence1-9 / 100 0001.05 / 100 000WorldwideValue and classValidated25946030[PMID]_20534753[PMID]_10770176[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

58 annotations · validated 2024-03-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002893Pituitary adenoma
Frequent (79-30%)
HP:0011362Abnormal hair quantity
HP:0011804Abnormal muscle physiology
HP:0000140Abnormality of the menstrual cycle
HP:0012503Abnormality of the pituitary gland
HP:0000846Adrenal insufficiency
HP:0011748Adrenocorticotropic hormone deficiency
HP:0011735Adrenocorticotropin deficient adrenal insufficiency
HP:0010972Anemia of inadequate production
HP:0000830Anterior hypopituitarism
HP:0030521Bitemporal hemianopia
HP:0011734Central adrenal insufficiency
HP:0002920Decreased circulating ACTH level
HP:0030018Decreased female libido
HP:0000868Decreased fertility in females
HP:0012041Decreased fertility in males
HP:0000824Decreased response to growth hormone stimulation test
HP:0003388Easy fatigability
HP:0100639Erectile dysfunction
HP:0012378Fatigue
HP:0000134Female hypogonadism
HP:0002315Headache
HP:0000135Hypogonadism
HP:0000044Hypogonadotropic hypogonadism
HP:0040075Hypopituitarism
HP:0002615Hypotension
HP:0000802Impotence
HP:0000837Increased circulating gonadotropin level
HP:0008993Increased intraabdominal fat
HP:0000858Irregular menstruation
HP:0000026Male hypogonadism
HP:0002017Nausea and vomiting
HP:0000980Pallor
HP:0008245Pituitary hypothyroidism
HP:0000529Progressive visual loss
HP:0008240Secondary growth hormone deficiency
HP:0002013Vomiting
Occasional (29-5%)
HP:0006897Abducens palsy
HP:0000618Blindness
HP:0000863Central diabetes insipidus
HP:0030998Cerebrospinal fluid rhinorrhoea
HP:0006824Cranial nerve paralysis
HP:0000873Diabetes insipidus
HP:0000651Diplopia
HP:0007011Fourth cranial nerve palsy
HP:0012377Hemianopia
HP:0030517Heteronymous hemianopia
HP:0000870Increased circulating prolactin concentration
HP:0030088Increased serum testosterone level
HP:0007942Internal ophthalmoplegia
HP:0000053Macroorchidism
HP:0002050Macroorchidism, postpubertal
HP:0012246Oculomotor nerve palsy
HP:0000871Panhypopituitarism
HP:0000508Ptosis
HP:0001250Seizure
HP:0001117Sudden loss of visual acuity
HP:0002321Vertigo

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30521182[PMID]_8496297[PMID]_26072284[PMID]_26070464[PMID]_25208537[PMID]_21474687[PMID]_19945027[PMID]

7

Sources for this card