title: Recurrent Cushing's syndrome due to recurrent adrenocortical tumor--fragmentation or tumor in ectopic adrenal tissue?
abstract: A 33-yr-old woman was found to have Cushing's syndrome due to a left adrenal cortical tumor. The tumor and the surrounding adrenal gland were removed intact and in toto. Four years later, she noticed recurrent symptoms of Cushing's syndrome, and 6 yr postoperatively, an adrenal tumor was demonstrable on computed tomography. Fourteen years after the initial procedure, a left adrenal tumor, presumably arising in ectopic adrenal tissue, was removed with relief of her symptoms of Cushing's syndrome. The site and functional capacity of ectopic adrenal tissues are reviewed.
authors.affiliation: Bronfman Department of Medicine, Mount Sinai Hospital and Mount Sinai School of Medicine of the City University of New York, New York 10029, USA.
authors.forename: J
authors.initials: J
authors.lastname: Leibowitz
authors.forename: D
authors.initials: D
authors.lastname: Pertsemlidis
authors.forename: J L
authors.initials: JL
authors.lastname: Gabrilove
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D018246:Adrenocortical Adenoma / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D000328:Adult; D002828:Choristoma; D003480:Cushing Syndrome / Q000209:etiology*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism; D008279:Magnetic Resonance Imaging; D009364:Neoplasm Recurrence, Local / Q000150:complications*; D012008:Recurrence; D014057:Tomography, X-Ray Computed
chemical_list: D006854:Hydrocortisone