Adrenal Medullary Hyperplasia with Coexisting Adrenal Cortical Adenoma

천정완; 홍성우; 강윤경; 이우용; 장여구; 이병모

추천

검색

자료유형: 학술저널

저자정보: 천정완 홍성우 강윤경 이우용 장여구 이병모

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제11권 제3호

발행연도: 2011.1

수록면: 182 - 185 (4page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Adrenal medullary hyperplasia is an increase in the mass of the adrenal medullary cells. We report a case of a 38-year-old man presenting with pheochromocytoma-like symptoms who was preoperatively misdiagnosed with pheochromocytoma. Hypertension was associated with an intracranial hemorrhage evident in a brain computed tomography scan, in which no obvious pituitary gland enlargement was detected. An abdominopelvic CT revealed a solitary tumor in the right adrenal gland with no obvious enlargement of the contralateral adrenal gland or sympathetic chains. Lab results showed increased levels of urinary metanephrines. Based on clinical data, the patient underwent a laparoscopic right adrenalectomy bases on a diagnosis of pheochromocytoma. The patient was finally diagnosed with adrenal medullary hyperplasia with coexisting ipsilateral non-functioning adrenal cortical adenoma. Postoperatively, blood pressure and lab results were maintained in the normal range and the patient was symptomatically free during the follow-up period. (Korean J Endocrine Surg 2011;11: 182-185)

#Adrenal cortical adenoma #Adrenal medullary hyperplasia #Pheochromocytoma

참고문헌 (7)

참고문헌 신청

Case records of the Massachusetts General Hospital / 1986 / Weekly clinicopathological exercises. Case 6-1986. A 34-year-old man with hypertension and episodes of flushing, n

Kim HS / 1991 / A case of concomittantly occurred bilateral adrenal medullary hyperplasia and a ganglioneuroma near the left adrenal gland / J Korean Soc Endocrinol 6 : 259 ~

Kopetschke R / 2009 / Frequent incidental discovery of phaeochromocytoma: data from a German cohort of 201 phaeochromocytoma / Eur J Endocrinol 161 : 355 ~ 361

Nomikos IN / 2008 / Association of an oversized adrenal cortical adenoma with expression of pheochromocytoma-like neurosecretory features / J BUON 13 : 425 ~ 428

Rudy FR / 1980 / Adrenal medullary hyperplasia: a clinicopathologic study of four cases / Hum Pathol 11 : 650 ~ 657