Four hundred and thirty-four pituitary glands from an unselected autop
sy series were examined to investigate the incidence and immunohistoch
emical nature of occult pituitary microadenomas. Fourteen tumors (3.2%
) were identified. The ages of the affected patients varied from 11 to
86 yrs, with no age predominance. Males and females were similarly af
fected. Nine of the microadenomas were available for immunoperoxidase
staining. Adrenocorticotropic hormone, follicle stimulating hormone, g
rowth hormone, luteinizing hormone, prolactin and thyroid stimulating
hormone were examined. Four of the adenomas were reactive for prolacti
n; one was reactive for growth hormone, with scattered positivity for
adrenocorticotropic hormone, follicle stimulating hormone, luteinizing
hormone and thyroid stimulating hormone; 4 were nonreactive.