Cushing syndrome secondary to ectopic adrenocortical adenoma

Authors

  • María Merino-Viveros Servicio de Endocrinología y Nutrición, Hospital Universitario de Getefe, Getafe (Madrid), Spain
  • Isabel Pavón-de Paz Servicio de Endocrinología y Nutrición, Hospital Universitario de Getefe, Getafe (Madrid), Spain
  • Guadalupe Guijarro-de Armas Servicio de Endocrinología y Nutrición, Hospital Universitario de Getefe, Getafe (Madrid), Spain
  • Cristina Navea-Aguilera Servicio de Endocrinología y Nutrición, Hospital Universitario de Getefe, Getafe (Madrid), Spain
  • Naiara Modroño-Móstoles Servicio de Endocrinología y Nutrición, Hospital Universitario de Getefe, Getafe (Madrid), Spain

DOI:

https://doi.org/10.32818/reccmi.a2n2a2

Keywords:

Cushing's syndrome, ectopic adrenocortical adenoma, independent ACTH

Abstract

Ectopic secretion of cortisol by adrenocortical adenomas is an extremely rare cause of independent ACTH Cushing syndrome (CS). A clinical case is presented where, due to poorly controlled diabetes mellitus type 2, the presence of hypercortisolism was demonstrated. ACTH levels suppressed determined that it was ACTH independent. Imaging tests and surgery showed that it was a Cushing’s syndrome secondary to ectopic adrenocortical adenoma of the left broad ligament.

There are few published cases in the literature, some of them in the ovary, testes or in the renal hilum; so we think it could be interesting and we add another one.

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References

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Chenli F, Terki N, Azzoug S. Ectopic adrenocortical carcinoma located in the ovary. Eur J Endocrinol. 2016;175(4):K17-23.

Jain SH, Sadow PM, Nosé V, Dluhy RG. A patient with ectopic cortisol production derived from malignant testicular masses. Nat Clin Pract Endocrinol Metab. 2008;4(12):695-700.

Tong A, Jia A, Yan S, Zhang Y, Xie Y, Liu G. Ectopic cortisol-producing adrenocortical adenoma in the renal hilum: histopathological features and steroidogenic enzyme profile. Int J Clin Exp Pathol. 2014; 7(7): 4415-21.

Nieman LK, Biller BM, Findling JW, Newell-Price J, Savage MO, Stewart PM et al. The Diagnosis of Cushing’s Syndrome: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. May 2008, 93(5):1526-40.

Louiset E, Gobet F, Libé R, Horvath A, Renouf S, Cariou J, et al. ACTH-independent Cushing’s syndrome with bilateral micronodular adrenal hyperplasia and ectopic adrenocortical adenoma. J Clin Endocrinol Metab. 2010;95:18-24.

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Ventura L, Leocata P, Hind A, Greco I, Ventura T. Ectopic adrenal tissue in the spermatic cord: Case report and review of the literature. Arch Ital Urol Androl. 1998;70:15-8.

Published

2017-08-31

How to Cite

1.
Merino-Viveros M, Pavón-de Paz I, Guijarro-de Armas G, Navea-Aguilera C, Modroño-Móstoles N. Cushing syndrome secondary to ectopic adrenocortical adenoma. Rev Esp Casos Clin Med Intern [Internet]. 2017 Aug. 31 [cited 2024 Jul. 3];2(2):65-7. Available from: https://www.reccmi.com/RECCMI/article/view/143

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