Endocrinology Research and Practice
Case Report

Unilateral Primary Pigmented Nodular Adrenocortical Disease: Report of a Rare Case

1.

Smt. Kashibai Navale Medical College and General Hospital, Clinic of Pathology, Pune, India

Endocrinol Res Pract 2015; 19: 136-138
DOI: 10.4274/tjem.2509
Read: 2232 Downloads: 545 Published: 01 December 2015

ABSTRACT

Primary pigmented adrenocortical disease is a rare disorder usually affecting both adrenals. It causes Cushing’s syndrome that is adrenocorticotropic hormone independent. It is treated by bilateral adrenalectomy. We present an unusual case where this condition was unilateral and was diagnosed as adenoma on imaging. The patient was subsequently treated by unilateral adrenalectomy, and had no signs of recurrence in 5-year postoperative follow-up. This case emphasizes the importance of histopathology and immunohistochemistry in diagnosis of this condition.

 

 

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