[ACTH-independent bilateral adrenocortical macronodular hyperplasia (AIMAH): report of a case].
We treated a case of ACTH-independent bilateral adrenocortical macronodular hyperplasia (AIMAH), a rare disease. The patient was a 49 year-old man having chief complaints of facial edema, muscle wasting and typical Cushing's syndrome symptoms. He was diagnosed with AIMAH by specific hormonal tests for Cushing's syndrome and CT scan. Bilateral total adrenalectomy was performed in a two-stage operation for bilateral macronodular adrenocortical hyperplasia. The resected adrenal tumor weighed 57 g on the right side and 78 g on the left, and both had a yellowish nodular surface. The histological appearance was typical AIMAH. A total of 23 AIMAH reported cases was reviewed.
Nakano
M
M
Department of Urology, Gifu University School of Medicine.
Tada
K
K
Takahashi
Y
Y
Deguchi
T
T
Kuriyama
M
M
Ban
Y
Y
Kawada
Y
Y
Hanafusa
J
J
Morita
H
H
Yasuda
K
K
D000302:Adrenal Cortex / Q000473:pathology*; D000315:Adrenalectomy / Q000379:methods; D000324:Adrenocorticotropic Hormone / Q000097:blood*; D003480:Cushing Syndrome / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D006965:Hyperplasia; D008297:Male; D008875:Middle Aged
D000324:Adrenocorticotropic Hormone