Laparoscope resection of ectopic corticosteroid-secreting adrenal adenoma.
Tumors originating from ectopic adrenal tissue are relatively rare. In this article, we describe a case with Cushing's syndrome caused by an ectopic adrenal adenoma. A 38 year-old male patient presenting with cushingoid appearance for 2 years was diagnosed to have ACTH-independent Cushing's syndrome based on endocrinological evaluation. Mutiple radiological examinations detected bilateral adrenal atrophy. When the images were investigated in a more expanded scope, a 3.0×3.5×5.3 cm mass was detected in the anterior of left renal hilum and left renal vein. The mass was successfully resected with intraoperative endoscopy and pathological evaluation revealed an ectopic adrenal tumor. It is suggested that when the endocrinlogically confirmed adrenal neoplasm could not be well and definitely localized, the possibility of ectopic adrenal should be presumed and further radiography examinations should extend to the field where ectopic adrenal usually presents.
Department of Endocrinology, Chinese PLA General Hospital, Beijing, China.
Xian-Ling
XL
Wang
Jing-Tao
JT
Dou
Jiang-Ping
JP
Gao
Wen-Wen
WW
Zhong
Du
D
Jin
Lüzhao
L
Hui
Ju-Ming
JM
Lu
Yi-Ming
YM
Mu
D000302:Adrenal Cortex; D000305:Adrenal Cortex Hormones / Q000378:metabolism*; D000306:Adrenal Cortex Neoplasms / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D018246:Adrenocortical Adenoma / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002828:Choristoma / Q000473:pathology; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology; D007680:Kidney Neoplasms / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D047748:Pituitary ACTH Hypersecretion / Q000473:pathology / Q000601:surgery*
D000305:Adrenal Cortex Hormones