Autonomous nodular hyperplasia of the adrenal cortex: tertiary hypercortisolism?

Abstract:

:Two cases of Cushing's syndrome are reported in which apparently autonomous adrenal adenomata were associated with the presence of pituitary tumours. In one case the patient was apparently cured by unilateral adrenalectomy, although she was noted to have radiological evidence of an intrasellar tumour; serum cortisol was not suppressed by dexamethasone and ACTH was undetectable. Serum ACTH in the second case was initially 31 ng/l but became undetectable during the course of investigation. Transsphenoidal removal of a corticotroph adenoma did not affect serum cortisol and she proceeded to unilateral adrenalectomy. The pathogenesis of autonomous macronodular hyperplasia is discussed, as well as the options for management.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Sturrock ND,Morgan L,Jeffcoate WJ

doi

10.1111/j.1365-2265.1995.tb00546.x

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

753-8

issue

6

eissn

0300-0664

issn

1365-2265

journal_volume

43

pub_type

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