title: Adrenomedullary hyperplasia associated with cortisol producing adenoma.
abstract: We report a case of a 58-year-old man with adrenal medullary hyperplasia associated with cortisol producing adenoma. Preoperative examination showed both adrenocortical and adrenomedullary hyperfunction. No Cushingoid sign was present and pheochromocytoma-like symptoms were predominant. Abdominal computerized tomography revealed a left adrenal tumor stained by contrast medium. Histologically, the adrenal tumor was found to be a cortical adenoma, and medullary hyperplasia was observed in the remaining parenchyma.
authors.affiliation: Department of Internal Medicine, Niigata Prefectural Central Hospital, Joetsu, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Yoshioka
authors.forename: H
authors.initials: H
authors.lastname: Saito
authors.forename: Y
authors.initials: Y
authors.lastname: Kawakami
authors.forename: H
authors.initials: H
authors.lastname: Mineyama
authors.forename: M
authors.initials: M
authors.lastname: Sekiya
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000473:pathology; D000306:Adrenal Cortex Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000473:pathology; D000313:Adrenal Medulla / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D006854:Hydrocortisone / Q000096:biosynthesis*; D006965:Hyperplasia; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D006854:Hydrocortisone