title: A case of myelolipoma with bilateral adrenal hyperaldosteronism cured after unilateral adrenalectomy.
abstract: Myelolipomas are adrenal tumors composed of both adipose and hematopoietic tissues which are rarely associated with primary aldosteronism (PA). Here, we report a case of myelolipoma associated with PA. Aldosterone hypersecretion from bilateral adrenal glands had been confirmed by adrenal venous sampling and pathological analyses, but PA was clinically cured after surgical removal of the unilateral adrenal gland together with the myelolipoma that was not producing aldosterone. It is suggested that myelolipomas may release some factors which stimulate aldosterone production in adrenal glands, although further investigation is necessary. Obesity-related hyperaldosteronism might in part participate in generation of hypertension in the present case.
authors.affiliation: Department of Medicine and Clinical Science, Kyoto University Graduate School of Medicine, Japan.
authors.forename: Megumi
authors.initials: M
authors.lastname: Inuzuka
authors.forename: Naohisa
authors.initials: N
authors.lastname: Tamura
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Sone
authors.forename: Daisuke
authors.initials: D
authors.lastname: Taura
authors.forename: Takuhiro
authors.initials: T
authors.lastname: Sonoyama
authors.forename: Kyoko
authors.initials: K
authors.lastname: Honda
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Kojima
authors.forename: Yorihide
authors.initials: Y
authors.lastname: Fukuda
authors.forename: Yoriko
authors.initials: Y
authors.lastname: Ueda
authors.forename: Yui
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Eri
authors.initials: E
authors.lastname: Kondo
authors.forename: Go
authors.initials: G
authors.lastname: Yamada
authors.forename: Toshihito
authors.initials: T
authors.lastname: Fujii
authors.forename: Masako
authors.initials: M
authors.lastname: Miura
authors.forename: Naotetsu
authors.initials: N
authors.lastname: Kanamoto
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yasoda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Arai
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Mikami
authors.forename: Hironobu
authors.initials: H
authors.lastname: Sasano
authors.forename: Kazuwa
authors.initials: K
authors.lastname: Nakao
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000453:epidemiology* / Q000601:surgery*; D000315:Adrenalectomy; D000450:Aldosterone / Q000378:metabolism; D015897:Comorbidity; D006801:Humans; D006929:Hyperaldosteronism / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*; D006973:Hypertension / Q000209:etiology; D008297:Male; D008875:Middle Aged; D018209:Myelolipoma / Q000453:epidemiology* / Q000601:surgery*; D009765:Obesity / Q000150:complications; D016896:Treatment Outcome
chemical_list: D000450:Aldosterone