Pathology

Most surgically removed clinically inapparent adrenal masses have been classified as nonfunctioning cortical adenomas.2123 Benign masses such as nodular hyperplasia, adrenal cysts, myelolipomas, ganglioneuromas, hematomas, hamartomas, hemangiomas, leiomyomas, neurofibromas, teratomas, as well as infections (tuberculosis, fungal, echinococcosis, nocardiosis) are also included in the pathology of these resected tumors (Fig. 67-1). Potentially lethal neoplasms, however, such as pheochromocytomas and primary carcinomas are always first on the list of resected adrenalomas.24"28 Pheochromocytoma is the most frequently found hormone-producing adrenaloma that occasionally has a normal preoperative laboratory evaluation.29 33 Few cases of aldosteronomas

FIGURE 67-1. Adrenalomas. A, Adenoma (in subclinical Cushing's syndrome). B, Pheochromocytoma (in subclinical pheochromocy-toma). C, Aldosteronoma (in subclinical aldosteronism). D, Adrenal cyst. E, Myelolipoma. F, Schwannoma. G, Primary adrenal carcinoma. H, Secondary adrenal carcinoma: a solitary metastasis from cervical cancer on which surgery was performed 10 years previously. (From Linos DA: Management approaches to adrenal incidentalomas [adrenalomas]: A view from Athens, Greece. Endocrinol Metab Clin North Am 2000;29:141.)

FIGURE 67-1. Adrenalomas. A, Adenoma (in subclinical Cushing's syndrome). B, Pheochromocytoma (in subclinical pheochromocy-toma). C, Aldosteronoma (in subclinical aldosteronism). D, Adrenal cyst. E, Myelolipoma. F, Schwannoma. G, Primary adrenal carcinoma. H, Secondary adrenal carcinoma: a solitary metastasis from cervical cancer on which surgery was performed 10 years previously. (From Linos DA: Management approaches to adrenal incidentalomas [adrenalomas]: A view from Athens, Greece. Endocrinol Metab Clin North Am 2000;29:141.)

and androgen-producing adenomas have been described among cases of surgically removed adrenalomas.334 In a large, multicenter, retrospective Italian study of 380 surgically treated adrenalomas (out of 1096 collected), 198 (52%) were cortical adenomas, 47 (12%) were cortical carcinomas, 42 (11%) were pheochromocytomas and 93 were other less frequent tumors.7

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook


Post a comment