In conclusion, even if the radiographic and/or biochemical evaluation of an adrenal mass suggested adrenocortical adenoma, clinicians still need to be aware of the probability of pheochromocytoma to avoid intraoperative hypertensive crisis.
Case report a rare case of collision tumor: Coexistence of adrenocortical adenoma and pheochromocytoma in the same adrenal gland.
Newell-Price, "Cortisol as a marker for increased mortality in patients with incidental
adrenocortical adenomas," The Journal of Clinical Endocrinology & Metabolism, vol.
Miyazaki et al., "Combined primary aldosteronism and Cushing's syndrome due to a single
adrenocortical adenoma complicated by Hashimoto's thyroiditis," Internal Medicine, vol.
Surgery is the single most important procedure in successful treatment of
adrenocortical adenomas. Prognosis is excellent for patients with adenoma histology.
Foci of macroscopic fat have rarely been reported in
adrenocortical adenomas, which were preoperatively interpreted as myelolipomas on the basis of radiologic findings.
(3,5) These associated adrenal pathologic conditions include adrenocortical hyperplasia, (3)
adrenocortical adenomas, (3,5) adrenocortical carcinomas, (5) and endocrinologic dysfunctions, including Addison disease, (4) Conn syndrome, (5) 21-hydroxylase deficiency, (3) 17-hydroxylase deficiency, (6) and ectopic corticotropin production.
In continuity with our previous observations [10], the aim of our study was to analyze methylation of GpG sites in the VDR gene promoter of a different and larger series of human adrenocortical tissues, comparing
adrenocortical adenomas (ACAs) with ACCs samples.
The natural history of incidentally discovered
adrenocortical adenomas: a retrospective evaluation.