A Case of Adrenocortical Adenoma Causing Cushing's Syndrome with Contralateral Nonfunctioning Adenoma.
- Author:
Sun Young KYUNG
1
;
Hye Sook HAHN
;
Hyo Joong YOON
;
Young Ha HWANG
;
Chan Jong SEO
;
Yeon Sil JEONG
;
Hong Kyu KIM
;
Hye Young PARK
;
Hyung Sik KIM
;
Jeong Nam LEE
;
Seung Yeon HA
;
Moon Ho KANG
Author Information
1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Gachon Medical School, Gil Medical Center, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Cushing's syndrome;
Bilateral adrenal adenoma;
Selective adrenalectomy
- MeSH:
Adenoma*;
Adrenal Glands;
Adrenalectomy;
Adrenocortical Adenoma*;
Adult;
Cushing Syndrome*;
Female;
Humans;
Hydrocortisone;
Hyperplasia;
Veins
- From:Journal of Korean Society of Endocrinology
2002;17(2):286-291
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report the case of a 43-year-old woman with Cushing's syndrome showing bilateral adrenococortical adenomas. We performed bilateral selective adrenal vein samplings. Hypersecretion of cortisol on the left sided adrenal tumor was observed, but no evidence of cortisol hypersecretion from the adrenal tumor on the right side was observed. The left adrenal tumor was resected selectively, but the right adrenal gland was reserved. The left adrenal tumor was histologically diagnosed as a adrenal adenoma without any evidence of nodular hyperplasia. Following the resection of the left adrenal gland, no cortisol hypersecretion from the remaining adrenal tumor on the right side was observed until now, suggesting that a selective adrenalectomy of functioning adenoma may be an acceptable treatment modality.
