Primary aldosteronism with aldosterone-producing adenoma consisting of pure zona glomerulosa-type cells in a pregnant woman.

Abstract:

:Aldosterone-producing adenoma (APA) consisting of pure zona glomerulosa (ZG)-type cells is extremely rare, and primary aldosteronism complicated by pregnancy is also rare. We report a case of APA discovered in a 32-year-old pregnant woman who visited our hospital for hypertension and hypokalemia at 26 weeks gestation. Elevated plasma aldosterone concentration and hypokalemia were observed, and an magnetic resonance imaging scan demonstrated a right adrenal mass. A laparoscopic adrenalectomy was performed because of refractory hypokalemia. Pathologically, the adrenal mass was diagnosed as APA, and in addition to the cytological features, in situ hybridization and real-time polymerase chain reaction proved that all the component cells were ZG-type cells. The cells also showed estrogen receptor beta immunoreactivity and melanocortin 2 receptor mRNA expression, suggesting that estrogen and/or ACTH might be related to the proliferation of APA cells during pregnancy. Our case is the first report of APA consisting of ZG-type cells discovered during pregnancy.

journal_name

Endocr Pathol

journal_title

Endocrine pathology

authors

Shigematsu K,Nishida N,Sakai H,Igawa T,Suzuki S,Kawai K,Takahara O

doi

10.1007/s12022-009-9060-8

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

66-72

issue

1

eissn

1046-3976

issn

1559-0097

journal_volume

20

pub_type

杂志文章
  • Xanthogranulomatous hypophysitis mimicking a pituitary neoplasm.

    abstract::Hypophysitis is an inflammatory disease of the pituitary gland that clinically and radiologically mimics pituitary tumors. We report here a case of xanthogranulomatous hypophysitis mimicking a pituitary neoplasm.A 65-yr-old woman presented with weight loss, fatigue, and visual disturbance. Computed tomography demonstr...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:15:4:351

    authors: Yokoyama S,Sano T,Tajitsu K,Kusumoto K

    更新日期:2004-01-01 00:00:00

  • Hashimoto's Thyroiditis Does Not Affect Ultrasonographical, Cytological, and Histopathological Features in Patients with Papillary Thyroid Carcinoma.

    abstract::The association between papillary thyroid carcinoma (PTC) and Hashimoto's thyroiditis (HT) is controversial. In this study, we aimed to compare preoperative thyroid functions, ultrasonography (US) features, fine-needle aspiration biopsy (FNAB) results, and histopathological characteristics of PTC in patients with and ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-015-9401-8

    authors: Baser H,Ozdemir D,Cuhaci N,Aydin C,Ersoy R,Kilicarslan A,Cakir B

    更新日期:2015-12-01 00:00:00

  • Focal and diffuse forms of congenital hyperinsulinism: the keys for differential diagnosis.

    abstract::Congenital hyperinsulinism is clinically characterized by an inappropriate insulin secretion resulting in recurrent severe hypoglycemia. Nesidioblastosis, the proliferation of islets cells budding off from pancreatic ducts, has been considered for years as the histological lesion responsible for the syndrome. In our m...

    journal_title:Endocrine pathology

    pub_type: 杂志文章,评审

    doi:10.1385/ep:15:3:241

    authors: Sempoux C,Guiot Y,Jaubert F,Rahier J

    更新日期:2004-10-01 00:00:00

  • Non-Coding RNAs in Thyroid Cancer.

    abstract::Non-coding (nc)RNAs are divided into small ncRNAs and long ncRNAs (lncRNAs). MicroRNAs (miRNAs) are small ncRNAS which are around 22 nucleotides in length that mediate post-transcriptional gene silencing. LncRNAs are greater than 200 bp in length. Each ncRNA can have multiple targets and can be regulated by multiple g...

    journal_title:Endocrine pathology

    pub_type: 杂志文章,评审

    doi:10.1007/s12022-016-9417-8

    authors: Zhang R,Hardin H,Chen J,Guo Z,Lloyd RV

    更新日期:2016-03-01 00:00:00

  • TGFB, TGFB Receptors, Ki-67, and p27(Kip)l Expression in Papillary Thyroid Carcinomas.

    abstract::Although most papillary thyroid carcinomas behave as low-grade neoplasms and are generally associated with a good prognosis, some subgroups of these neoplasms represent more aggressive variants. In order to determine if differences in the behavior of these papillary carcinomas were related to expression of growth fact...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739931

    authors: Lloyd RV,Ferreiro JA,Jin L,Sebo TJ

    更新日期:1997-01-01 00:00:00

  • Ultrastructural morphometry of different adrenal adenoma types.

    abstract::Twelve surgical specimens of adrenal tumors (3 mainly compact cell adenomas and 2 mainly spongiocytic adenomas of Cushing's syndrome, 4 adenomas of Conn's syndrome, 1 androgen-secreting adenoma, and 2 hormonally inactive tumors) were studied by ultrastructural morphometry, using the point-counting method. All groups w...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02915325

    authors: Saeger W,Saager G,Schubert B,Caselitz J

    更新日期:1991-03-01 00:00:00

  • Pituitary adenoma with "honeycomb Golgi" appearance showing a phenotypic change at recurrence from clinically nonfunctioning to typical Cushing disease.

    abstract::An adenoma resected from a 49-yr-old woman was clinically nonfunctioning but immunopositive for adrenocorticotropic hormone (ACTH) in a few cells. Electron microscopy demonstrated a vacuolar change in Golgi complexes known as "honeycomb Golgi." Recurrent adenoma resected 11 mo later was positive for ACTH in more cells...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:13:2:125

    authors: Sano T,Kovacs K,Asa SL,Yamada S,Sanno N,Yokoyama S,Takami H

    更新日期:2002-07-01 00:00:00

  • Cushing's syndrome in a child with pancreatic acinar cell carcinoma.

    abstract::A case of pancreatic acinar cell tumor (ACC) is presented in a 10-year-old boy. The tumor manifested clinically with Cushing's syndrome, high serum adrenocorticotropic hormone (ACTH) and cortisol concentrations. In addition, excessive serum levels of alpha-fetoprotein (AFP) were detected. Surgical resection was not po...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-007-0018-4

    authors: Illyés G,Luczay A,Benyó G,Kálmán A,Borka K,Köves K,Rácz K,Tulassay T,Schaff Z

    更新日期:2007-07-01 00:00:00

  • Expression and clinical significance of Wnt players and survivin in pituitary tumours.

    abstract::Deregulation of the Wnt pathway has been implicated in oncogenesis of numerous tissues including the pituitary gland. Immunohistochemical localization and quantification of β-catenin, Cyclin D1, c-MYC and Survivin expression in 47 pituitary adenomas (35 non-functioning, seven GH-secreting, three prolactinomas, two ACT...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-012-9197-8

    authors: Formosa R,Gruppetta M,Falzon S,Santillo G,DeGaetano J,Xuereb-Anastasi A,Vassallo J

    更新日期:2012-06-01 00:00:00

  • Analysis of IMP3 expression in normal and neoplastic human pituitary tissues.

    abstract::Insulin-like growth factor II mRNA-binding protein 3 (IMP3) is an oncofetal protein highly expressed in fetal tissue and malignant tumors but rarely found in adult benign tissues. In various tumors, IMP3 expression is correlated with increased tumor aggressiveness and reduced overall survival. To our knowledge, IMP3 e...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-009-9096-9

    authors: Righi A,Zhang S,Jin L,Scheithauer BW,Kovacs K,Kovacs G,Goth MI,Korbonits M,Lloyd RV

    更新日期:2010-03-01 00:00:00

  • Immunoreactive Characteristics and Classification of Hyperparathyroidism.

    abstract::Hyperparathyroidism is caused mainly by three different conditions: namely, secondary hyperplasia, primary hyperplasia, and adenoma with only a few cases due to carcinomas. Histological distinction among these diseases is still difficult. In an attempt to characterize the three conditions, 17 cases from patients with ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739877

    authors: Shan L,Iwasaki A,Utsunomiya H,Kawano I,Matsuura N,Kobayashi A,Kuma K,Kakudo K

    更新日期:1995-07-01 00:00:00

  • Expression of somatostatin type 2A receptor correlates with estrogen receptor in human breast carcinoma.

    abstract::Somatostatin type 2A receptor (sstr2A) has been shown to be directly involved in the transduction of antiproliferative effects and also to be the most predominant sstr subtype in human normal breast epithelium, as well as in human breast carcinoma. We investigated the immunoreactivity of sstr2A in 34 cases of human br...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:11:1:57

    authors: Pilichowska M,Kimura N,Schindler M,Suzuki A,Yoshida R,Nagura H

    更新日期:2000-04-01 00:00:00

  • Giant amyloid goiter in Crohn's disease.

    abstract::Crohn's disease is one of the causes of secondary amyloidosis, which can lead to amyloid infiltration of the thyroid gland. It is essential to follow strict controls to prevent the appearance of a large amyloid goiter. Two patients with amyloid goiter secondary to Crohn's disease, with a large adipose tissue component...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-012-9220-0

    authors: Febrero B,Ríos A,Rodríguez JM,Ferri B,Polo L,Parrilla P

    更新日期:2012-12-01 00:00:00

  • Capsular Invasion Matters Also in "Papillary Patterned" Tumors: A Study on 121 Cases of Encapsulated Conventional Variant of Papillary Thyroid Carcinoma.

    abstract::Papillary thyroid carcinoma (PTC) is the most common type of thyroid malignancy. Some PTCs with classical papillae can be totally or partially encapsulated, and these tumors are called "encapsulated" (conventional) variant of papillary thyroid carcinoma. We aimed to investigate the clinicopathological features of this...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-020-09650-1

    authors: Akbulut D,Kuz ED,Kursun N,Dizbay Sak S

    更新日期:2021-01-04 00:00:00

  • Risk of Malignancy According to the Sub-classification of Atypia of Undetermined Significance and Suspicious Follicular Neoplasm Categories in Thyroid Core Needle Biopsies.

    abstract::The objective of this study was to evaluate the risk of malignancy (ROM) associated with atypia of undetermined significance (AUS) and suspicious follicular neoplasm (SFN) core needle biopsy (CNB) categories after further sub-classification. Data from 2267 thyroid nodules evaluated by ultrasound-guided CNB, from Janua...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-019-9577-4

    authors: Chung SR,Baek JH,Lee JH,Lee YM,Sung TY,Chung KW,Hong SJ,Jeon MJ,Kim TY,Shong YK,Kim WB,Kim WG,Song DE

    更新日期:2019-06-01 00:00:00

  • Expression of the von Hippel-Lindau Tumor Suppressor Gene in Nonneoplastic and Neoplastic Lesions of the Thyroid.

    abstract::Alterations of the von Hippel-Lindau (VHL) gene, which is supposed to act as a tumor suppressor gene, can cause hereditary tumors associated with the VHL syndrome and are found in different sporadic cancers as well. While VHL protein is distinctly detectable in thyroid follicles, so far its expression in nonneoplastic...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:11:2:145

    authors: Hinze R,Boltze C,Meye A,Holzhausen HJ,Dralle H,Rath FW

    更新日期:2000-07-01 00:00:00

  • Collision tumors of the sella: craniopharyngioma and silent pituitary adenoma subtype 3: case report.

    abstract::Collision tumors of the sella turcica are rare and consist mainly of more than one type of pituitary adenoma, usually a corticotropin- and a prolactin-producing adenoma. The association of a craniopharyngioma and a pituitary adenoma is rare. Herein, we report the first case of an association between craniopharyngioma ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-009-9065-3

    authors: Moshkin O,Scheithauer BW,Syro LV,Velasquez A,Horvath E,Kovacs K

    更新日期:2009-04-01 00:00:00

  • Pancreatic endocrine pathology in von Hippel-Lindau disease: an expanding spectrum of lesions.

    abstract::A 41-yr-old patient with a history of von Hippel-Lindau (VHL) disease with previously removed bilateral pheochromocytomas and renal cell carcinoma presented with progressive obstructive jaundice due to multiple lesions in the pancreas. The pancreatectomy specimen showed a range of endocrine lesions including islet hyp...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:15:2:141

    authors: Chetty R,Kennedy M,Ezzat S,Asa SL

    更新日期:2004-07-01 00:00:00

  • BRAF mutation is unusual in chronic lymphocytic thyroiditis-associated papillary thyroid carcinomas and absent in non-neoplastic nuclear atypia of thyroiditis.

    abstract::Chronic lymphocytic thyroiditis (CLT) has an epidemiological relationship to papillary thyroid carcinoma (PTC). The follicular epithelium in CLT can be markedly atypical, with cytologic changes ranging from oncocytic morphology to clearing and overlapping. At the molecular level, the association between CLT and PTC is...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:17:3:235

    authors: Sargent R,LiVolsi V,Murphy J,Mantha G,Hunt JL

    更新日期:2006-10-01 00:00:00

  • A Previously Unrecognized Monocytic Component of Pheochromocytoma and Paraganglioma.

    abstract::We describe a consistently present, previously unrecognized, population of monocytes in pheochromocytomas and paragangliomas. Although sustentacular cells are generally recognized as a common component of these tumors, differential immunohistochemical staining for CD163 and S100 shows that monocytes can in fact be mor...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-019-9575-6

    authors: Farhat NA,Powers JF,Shepard-Barry A,Dahia P,Pacak K,Tischler AS

    更新日期:2019-06-01 00:00:00

  • Bronchial Paraganglioma with SDHB Deficiency.

    abstract::Though most paragangliomas arise as sporadic tumors, the recent advantages in the genetic screening revealed that about 30 % of paragangliomas are linked to hereditary mutations, such as those involving SDH genes. A 22-year-old woman carrying a left main bronchus tumor underwent surgery in our institution. Her past me...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-016-9422-y

    authors: Ghigna MR,Dorfmuller P,Crutu A,Fadel E,de Montpréville VT

    更新日期:2016-12-01 00:00:00

  • Expression of Simple Mucin Type Antigens and Lewis Type 1 and Type 2 Chain Antigens in the Thyroid Gland: An Immunohistochemical Study of Normal Thyroid Tissues, Benign Lesions, and Malignant Tumors.

    abstract::In order to characterize the pattern of expression of carbohydrate structures in several types of thyroid tissues and to evaluate the putative usefulness of the detection of such antigens in diagnostic surgical pathology, we undertook the immunohistochemical study of simple mucin type antigens (T, Tn, and sialyl Tn), ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739836

    authors: Fonseca E,Castanhas S,Sobrinho-Simoes M

    更新日期:1996-01-01 00:00:00

  • Discordant secretion of calcitonin and chromogranin in the human medullary thyroid carcinoma cell line.

    abstract::A cell fine of human medullary carcinoma of the thyroid, abundantly producing calcitonin (Ct) and related hormones, has proved remarkably useful as an endocrine tumor model for the study of the secretion mechanism. This cell line (TT cell) was used in studies to elucidate the dynamics of the release of Ct and chromogr...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02915322

    authors: Kameya T,Kadoya K,Iguchi H,Abe Y,Shimaoka K

    更新日期:1991-03-01 00:00:00

  • Incidental papillary thyroid carcinoma: diagnostic findings in a series of 287 carcinomas.

    abstract::The recent increase in the detection of papillary thyroid carcinoma (PTC) has been influenced by the finding of incidental tumours. To this group, carcinomas measuring less than 1 cm (the so-called microcarcinomas) as well as those above 1 cm belong. Analyzing a case series from our own experience, this paper focuses ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-014-9323-x

    authors: Pagni F,Jaconi M,Delitala A,Garancini M,Maternini M,Bono F,Giani A,Smith A,San Gerardo Hospital collaborators group.

    更新日期:2014-09-01 00:00:00

  • The Value of HBME-1 and Claudin-1 Expression Profile in the Distinction of BRAF-Like and RAS-Like Phenotypes in Papillary Thyroid Carcinoma.

    abstract::This study compared the expression profile of HBME-1 and claudin-1 in 90 papillary thyroid carcinomas (PTCs) with respect to the tumor architecture and invasive growth as reflected in 46 BRAF-like, 31 non-invasive RAS, and 13 invasive RAS-like phenotypes. Individual tumors were given an expression score (max 300) by m...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-016-9433-8

    authors: Gucer H,Bagci P,Bedir R,Sehitoglu I,Mete O

    更新日期:2016-09-01 00:00:00

  • Revisiting the Significance of Prominent C Cells in the Thyroid.

    abstract::C cell hyperplasia is considered a precursor lesion for hereditary forms of medullary thyroid carcinoma. It has therefore been suggested as a morphological marker to distinguish hereditary from sporadic medullary thyroid carcinoma and to triage genetic testing in resource poor settings. However, numerous definitions f...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-019-9567-6

    authors: Fuchs TL,Bell SE,Chou A,Gill AJ

    更新日期:2019-06-01 00:00:00

  • Cysts in the rat adenohypophysis: incidence and histology.

    abstract::The incidence and histology of cysts in the adenohypophysis of adult male Wistar rats are reported. Of sixty pituitaries studied 13 of them (21.6%) presented a single cyst located in the pars distalis. The cysts varied in shape and size and were usually multilocular. Two of them were connected with the subdural space ...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1385/ep:12:1:63

    authors: Quintanar-Stephano A,Muñoz Fernández L,Quintanar JL,Kovacs K

    更新日期:2001-04-01 00:00:00

  • Recurrence in Parathyroid Hyperplasias Owing to Secondary Hyperparathyroidism is Predicted by Morphological Patterns and Proliferative Activity Values.

    abstract::The histological pattern and the cell proliferative activity (as detected by Ki-67 immunostaining) of a series of 50 parathyroid hyperplasias (PTHs) secondary to renal failure were studied to assess their value in predicting recurrence of hyperparathyrodism (HPT). On account of their clinical evolution, these cases we...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/BF02739915

    authors: Abbona G,Papotti M,Gasparri G,Bussolati G

    更新日期:1996-04-01 00:00:00

  • Programmed Death-Ligand 1 (PD-L1) Is a Potential Biomarker of Disease-Free Survival in Papillary Thyroid Carcinoma: a Systematic Review and Meta-Analysis of PD-L1 Immunoexpression in Follicular Epithelial Derived Thyroid Carcinoma.

    abstract::The expression of programmed death-ligand 1 (PD-L1) is an established prerequisite for the administration of checkpoint inhibitor therapy and is of prognostic value in several cancer types. Data concerning the potential effect of PD-L1 on the prognosis of thyroid carcinoma are limited. Therefore, this study aimed to p...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-020-09630-5

    authors: Girolami I,Pantanowitz L,Mete O,Brunelli M,Marletta S,Colato C,Trimboli P,Crescenzi A,Bongiovanni M,Barbareschi M,Eccher A

    更新日期:2020-09-01 00:00:00

  • Hyalinizing trabecular tumor of the thyroid: an update.

    abstract::Hyalinizing trabecular tumor (HTT) is a rare thyroid tumor of follicular cell origin with a trabecular pattern of growth and marked intratrabecular hyalinization. This tumor is known to share morphological and architectural similarities with paraganglioma and medullary thyroid carcinoma, as well as the nuclear feature...

    journal_title:Endocrine pathology

    pub_type: 杂志文章

    doi:10.1007/s12022-007-9002-2

    authors: Nosé V,Volante M,Papotti M

    更新日期:2008-04-01 00:00:00