Miyajima A, Nakashima J, Tachibana M, Baba S, Nakamura K, Murai M
Department of Urology, Keio University School of Medicine, Tokyo, Japan.
Urol Int. 1997;58(4):259-61. doi: 10.1159/000282999.
A 53-year-old man who had been followed up for the treatment of hypertension presented with a bilateral adrenal mass during a screening CT scan. Other imaging studies and biochemical tests suggested Cushing's syndrome caused by a pituitary-independent and adrenal-dependent bilateral adrenal tumor. A total adrenalectomy was performed and the pathological appearance of the surgical specimen showed adrenal hyperplasia. Therefore, these findings were considered to be consistent with ACTH-independent bilateral macronodular adrenal hyperplasia (AIMAH). This tumor is quite rare and its etiology still remains controversial. We herein report this incidentally found AIMAH and also review the pertinent literature.
一名53岁因高血压接受随访治疗的男性，在一次筛查CT扫描中发现双侧肾上腺肿块。其他影像学检查和生化检测提示，该双侧肾上腺肿瘤导致的库欣综合征是由垂体非依赖性和肾上腺依赖性引起的。进行了双侧肾上腺切除术，手术标本的病理表现显示肾上腺增生。因此，这些发现被认为与促肾上腺皮质激素（ACTH）非依赖性双侧大结节性肾上腺增生（AIMAH）相符。这种肿瘤非常罕见，其病因仍存在争议。我们在此报告这例偶然发现的AIMAH，并对相关文献进行综述。
