Bilateral adrenal tumors from different tissues: 1case report and literature review
10.3760/cma.j.issn.1674-6090.2012.03.010
- VernacularTitle:一例不同组织来源的双侧肾上腺肿瘤并文献分析
- Author:
Yushi ZHANG
;
Hanzhong LI
;
Jianchun XIAO
;
Yi ZHOU
;
Zhien ZHOU
;
Anli TONG
- Publication Type:Journal Article
- Keywords:
Bilateral adrenal tumors;
Pheochromocytona;
Cushing's syndrome;
Histology
- From:
Journal of Endocrine Surgery
2012;06(3):179-181,187
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the recognization of bilateral adrenal tumors from different tissues and to discuss the treatment.Methods One case of bilateral adrenal tumors from different tissues:pheochromocytoma in one side and adrenocortical adenoma in the other side was reported and the data of syptoms,physical features,auxillary examination,diagnosis and treatment were retrospectively reviewed.Results The patient was diagnosed as adrenocorticotropic hormone (ACTH) -independent Cushing's syndrome in other hospital and received laparoscopic adrenalectomy for right adrenal tumor.During the operation the blood pressure fluctuated seriously and was even more than 200 mm Hg.The pathological report showed the mass was pheochromocytoma.After the operation,the patient's clinical manifcstation was not changed.Half a year later the lab test showed blood ACTH was still less than 5 pg/ml,24 h urinary-free cortisol (UFC) was 571.32 μg,and 24 h urinary catecholamines (U CA) was:noradrenalin (NE) 22.80 μg,epinephrine (E) 2.55 μg,dopamine (DA) 92.92 μg.CT detected a mass in left adrenal gland.The patient received laparoscopic adrenalectomy for left adrenal tumor after being transferred to Peking Union Medical College Hospital.The tumor was proved as adrenocortical adenoma by postoperational pathology.One week after the operation,the 24 h UFC was 56.2 μg.Conclusions Bilateral adrenal tumors from different tissues are very rare in clinic.Adrenalectomy for tumors from both sides and remaining the normal adrenal glands are recommended.
