A case of aldosterone-producing adrenocortical adenoma associated with a probable post-operative adrenal crisis: Histopathological analyses of the adrenal gland

Hypertension Research

Volumn 26, Issue 8, 2003, Pages 663-668

  Sugawara, Akira ^a   Takeuchi, Kazuhisa ^a   Suzuki, Takashi ^a   Itoi, Keiichi ^a   Sasano, Hironobu ^a   Ito, Sadayoshi ^a  

^a TOHOKU UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

Author keywords

Aldosterone; Cortisol; Hypertension; Primary aldosteronism

Indexed keywords

ALDOSTERONE; BENIDIPINE; CORTICOTROPIN; DEXAMETHASONE; GLUCOCORTICOID; HYDROCORTISONE; PRASTERONE; RENIN; STEROID 17ALPHA MONOOXYGENASE; SULFOTRANSFERASE;

ADRENAL CORTEX; ADRENAL CORTEX ADENOMA; ADRENAL CORTEX INSUFFICIENCY; ADRENAL SCINTISCANNING; ADRENALECTOMY; ADULT; ALDOSTERONE BLOOD LEVEL; ARTICLE; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CORTICOTROPIN BLOOD LEVEL; DEXAMETHASONE SUPPRESSION TEST; DISEASE ASSOCIATION; DISEASE SEVERITY; FEMALE; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; HYDROCORTISONE BLOOD LEVEL; HYDROCORTISONE RELEASE; HYPOKALEMIA; HYPOTHALAMUS HYPOPHYSIS ADRENAL SYSTEM; IMMUNOHISTOCHEMISTRY; IMMUNOREACTIVITY; NUCLEAR MAGNETIC RESONANCE IMAGING; PLASMA RENIN ACTIVITY; RENOVASCULAR HYPERTENSION; ZONA FASCICULATA;

3-HYDROXYSTEROID DEHYDROGENASES; ADRENAL CORTEX NEOPLASMS; ADRENOCORTICAL ADENOMA; CUSHING SYNDROME; FEMALE; HUMANS; HYPERALDOSTERONISM; HYPERTENSION; IMMUNOHISTOCHEMISTRY; MAGNETIC RESONANCE IMAGING; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; STEROID 17-ALPHA-HYDROXYLASE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 0042327742     PISSN: 09169636     EISSN: None     Source Type: Journal    
DOI: 10.1291/hypres.26.663     Document Type: Article

References (25)

1. Conn JW: Primary aldosteronism, a new clinical syndrome. J Lab Clin Med 1955; 45: 661-664.
2. Gordon RD, Stowasser M, Tunny TJ, Klemm SA, Rutherford JC: High incidence of primary aldosteronism in 199 patients referred with hypertension. Clin Exp Pharmacol Physiol 1994; 21: 315-318.
3. Komiya I, Yamada T, Takasu N, et al: An abnormal sodium metabolism in Japanese patients with essential hypertension, judged by serum sodium distribution, renal function and the renin-aldosterone system. J Hypertens 1997; 15: 65-72.
4. Loh KC, Koay ES, Khaw MC, Emmanuel SC, Young WF Jr: Prevalence of primary aldosteronism among Asian hypertensive patients in Singapore. J Clin Endocrinol Metab 2000; 85: 2854-2859.
5. Blumenfeld JD, Sealey JE, Schlussel Y, et al: Diagnosis and treatment of primary hyperaldosteronism. Ann Intern Med 1994; 121: 877-885.
6. Watanabe N, Tsunoda K, Sasano H, et al: Bilateral aldosterone-producing adenomas in two patients diagnosed by immunohistochemical analysis of steroidogenic enzymes. Tohoku J Exp Med 1996; 179: 123-129.
7. Taniguchi R, Koshiyama H, Yamauchi M, et al: A case of aldosterone-producing adenoma with severe postoperative hyperkalemia. Tohoku J Exp Med 1998; 186: 215-223.
8. Sasano N, Ojima M, Masuda T: Endocrinologic pathology of functioning adrenocortical tumors. Pathol Annu 1980; 15: 105-141.
9. Ross NS: Epidemiology of Cushing's syndrome and subclinical disease. Endocrinol Metab Clin North Am 1994; 23: 539-546.
10. Kloos RT, Gross MD, Francis IR, Korobkin M, Shapiro B: Incidentally discovered adrenal masses. Endocr Rev 1995; 16: 460-484.
11. Chidiac RM, Aron DC: Incidentalomas: a disease of modern technology. Endocrinol Metab Clin North Am 1997; 26: 233-253.
12. Reincke M, Nieke J, Krestin GP, Saeger W, Allolio B, Winkelmann W: Preclinical Cushing's syndrome in adrenal "incidentalomas": comparison with adrenal Cushing's syndrome. J Clin Endocrinol Metab 1992; 75: 826-832.
13. Nawata H, Demura H, Suda T, Takayanagi R: Preclinical Cushing's syndrome, in Nawata H (ed): Annual Report of the Ministry of Health and Welfare "Disorders in Addrenal Hormones." Tokyo, Ministry of Health and Welfare, 1996, pp 223-226.
14. Suda T: Preclinical Cushing's syndrome and adrenocorticotropic hormone-independent bilateral adrenocortical macronodular hyperplasia. Intern Med 1997; 36: 601-602.
15. Terzolo M, Osella G, Ali A, et al: Subclinical Cushing's syndrome in adrenal incidentaloma. Clin Endocrinol (Oxf) 1998; 48: 89-97.
16. Reincke M: Subclinical Cushing's syndrome. Endocrinol Metab Clin North Am 2000; 29: 43-56.
17. Baert D, Nobels F, Van Crombrugge P: Combined Conn's and Cushing's syndrome: an unusual presentation of adrenal adenoma. Acta Clin Belg 1995; 50: 310-313.
18. Imai T, Seo H, Murata Y: Dexamethasone-nonsuppressible cortisol in two cases with aldosterone-producing adenoma. J Clin Endocrinol Metab 1991; 72: 575-581.
19. Allan CA, Kaltsas G, Perry L, et al: Concurrent secretion of aldosterone and cortisol from an adrenal adenoma - value of MRI in diagnosis. Clin Endocrinol (Oxf) 2000; 53: 749-753.
20. Makino S, Oda S, Saka T, Yasukawa M, Komatsu F, Sasano H: A case of aldosterone-producing adrenocortical adenoma associated with preclinical Cushing's syndrome and hypersecretion of parathyroid hormone. Endocr J 2001; 48: 103-111.
21. Honda T, Nakamura T, Saito Y, Ohyama Y, Sumino H, Kurabayashi M: Combined primary aldosteronism and preclinical Cushing's syndrome: an unusual case presentation of adrenal adenoma. Hypertens Res 2001; 24: 723-726.
22. Weiss LM: Comparative histologic study of 43 metastasizing and nonmetastasizing adrenocortical tumors. Am J Surg Pathol 1984; 8: 163-169.
23. Papanicolaou DA, Mullen N, Kyrou I, Nieman LK: Night-time salivary cortisol: a useful test for the diagnosis of Cushing's syndrome. J Clin Endocrinol Metab 2002; 87: 4515-4521.
24. Sasano H, Sato F, Shizawa S, Nagura H, Coughtrie MW: Immunolocalization of dehydroepiandrosterone sulfotransferase in normal and pathologic human adrenal gland. Mod Pathol 1995; 8: 891-896.
25. Morio H, Terano T, Yamamoto K, et al: Serum levels of dehydroepiandrosterone sulfate in patients with asymptomatic cortisol producing adrenal adenoma: comparison with adrenal Cushing's syndrome and non-functional adrenal tumor. Endocr J 1996; 43: 387-396.