An unusual case of Adrenal Incidentaloma

Yıl 2014, Cilt: 4 Sayı: 3, 160 - 163, 18.01.2015

Turker Tasliyurt Safak Sahin Ahmet Demirtas Zafer Ozmen Resit Koseoglu İsmail Okan Suheyla Uzun Kaya Faruk Kutluturk

Öz

Adrenal incidentalomas are masses accidentally discovered while conducting radiological examinations for other purposes. A major part of adrenal incidentalomas are non-functional adenomas. Silently developing Cushing’s syndrome or pheochromocytoma can be observed in adrenal incidentalomas. However, coexistence of Cushing’s syndrome and pheochromocytoma at the same time in the same case is quite rare. In the present study, an atypical adrenal incidentaloma case is presented, whose laboratory examinations were compatible with Subclinical Cushing’s syndrome, urinary catecholamine metabolites were normal, but who histopathologically had pheochromocytoma diagnosis.

 

 

Anahtar Kelimeler

Pheochromocytoma; Adrenal incidentaloma; Subclinical cushing’s syndrome

Nadir Görülen Bir Adrenal İnsidentaloma Vakası

Öz

Adrenal insidentalomalar, başka amaçlarla yapılan radyolojik görüntülemeler sırasında tesadüfen tespit edilen kitlelerdir. Adrenal insidentalomaların büyük kısmını nonfonksiyonel adenomlar oluşturmaktadır. Adrenal insidentalomalarda sessiz bir klinikle seyreden cushing sendromu veya feokromasitoma gözlenebilmektedir. Ancak adrenal insidentalomalı bir vakada cushing sendromu ve feokromasitomanın birlikte bulunması son derece nadirdir. Burada, laboratuar tetkikleri subklinik cushing sendromu ile uyumlu, üriner katekolamin metabolitleri normal olan ancak histopatolojik olarak feokromasitoma tanısı konulan bir atipik adrenal insidentaloma vakası sunulmaktadır.

 

Anahtar Kelimeler

Feokromasitoma; Adrenal insidentaloma; Subklinik cushing sendromu

Kaynakça

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