title: Laparoscopic simultaneous bilateral adrenalectomy for testosterone-secreting bilateral adrenal tumors.
abstract: Laparoscopic adrenalectomy is widely accepted as a safe and minimally-invasive procedure. Although it is a standard procedure for the surgical treatment of adrenal tumors, its simultaneous use with bilateral adrenalectomy is relatively rare. A 21-year-old woman was referred to Hamamatsu University School of Medicine University Hospital complaining of a deepening voice, hirsutism and secondary amenorrhea. Abdominal computed tomography showed bilateral adrenal tumors, and hormonal examinations showed that the tumors secreted excessive testosterone, resulting in virilizing symptoms. Laparoscopic simultaneous bilateral adrenalectomy was carried out. Postoperatively, serum testosterone levels immediately recovered to within the normal range. Menstruation began the month after the operation, and the hirsutism gradually regressed. This is the third reported case of bilateral virilizing adrenal tumors, and the first to be successfully treated with laparoscopic simultaneous bilateral adrenalectomy.
authors.affiliation: Department of Urology, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Suzuki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Furuse
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kurita
authors.forename: Tomomi
authors.initials: T
authors.lastname: Ushiyama
authors.forename: Soichi
authors.initials: S
authors.lastname: Mugiya
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Ozono
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Oki
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D013739:Testosterone / Q000378:metabolism; D055815:Young Adult
chemical_list: D013739:Testosterone
keywords: bilateral adrenal tumors; laparoscopic simultaneous bilateral adrenalectomy; testosterone-secreting tumor; virilizing adrenal tumor