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myxoid adrenal cortical adenoma—the first case reported in China

The Chinese-German Journal of Clinical Oncology 2006年第5期5卷 383-384页

作者： Hongkai Zhang Qiang Du Xiangdong Feng Tiehua Zhao Department of Pathology Beijing Fuxing Hospital affiliated to the Capital University of Medical Sciences Beijing 100038 China

myxoid adrenal cortical adenoma is a rare tumor and till now only 9 cases have been presented in the world. We here report another case of myxoid adenoma of the adrenal gland in a 45-year-old Chinese man who was admitted to hospital because of the right adrenal mass and mild hypertension. At surgery, the mass was well-circumscribed, measured 3.3 cm in diameter. Light-microscopic findings showed most of the tumor region with myxoid stroma, and the tumor cells were benign-look- ing. Immunohistochemical study showed the tumor had the positivity for vimentin, synaptophysin, neuron specific endolase but negative with cytokeratin and epithelial membrane antigen. Moreover, it was negative with alpha-inhibin that is not in accordance with those reported. There was no finding corresponding to malignancy.

关键词： adrenal gland myxoid adrenal cortical adenoma differential diagnosis

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adrenal myelolipoma within myxoid cortical adenoma associated with Conn's syndrome

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2008年第6期9卷 500-505页

作者： Hong-sheng LU Mei-fu GAN Han-song CHEN Shan-qiang HUANG Department of Pathology Taizhou Hospital Linhai 317000 China

The coexistence of myelolipoma within adrenal cortical adenoma is extremely rare,for both tumors present usually as separate *** are only 16 such cases reported *** the best of our knowledge,the case we reported here is the first one of myxoid adrenal cortical adenoma associated with myelolipoma reported.A 32-year-old Chinese woman with 4-year history of hypertension was presented in our *** tomography(CT)of the abdomen showed a large heterogene- ously-enhancing mass(4.5 cm in diameter)in the left suprarenal *** history and laboratory results suggest a metabolic disorder as Conn's *** patient underwent a left adrenalectomy,and a histopathological study confirmed the mass to be a myxoid adrenal cortical adenoma containing *** patient was postoperatively well and discharged *** the present case report,we also discuss the etiology of simultaneous myelolipoma and adrenal adenoma associated with Conn's syndrome,and the methods of the diagnosis and differential diagnosis.

关键词： adrenal gland myxoid adrenal cortical adenoma Myelolipoma Conn's syndrome Pathology Immunohistochemistry

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