Bilateral Adrenocortical Adenomas Causing Cushing’s Syndrome: Report of A Case Successfully Treated by Adrenal-Sparing Surgery
A case of Cushing's syndrome in a 49 - year old woman caused by bilateral adrenocortical adenomas was reported. Computed tomography (CT) disclosed bilateral adrenal tumors, and adrenal scintigraphy revealed positive accumulation of a radiopharmaceutical in these glands. Stronger accumulation was observed in the larger left tumor, but the cortisol concentration in the right adrenal vein was definitely higher than that on the left side. A right adrenalectomy and a left tumorectomy were performed, and hydrocortisone replacement was discontinued at 27 months postoperatively.