Adrenocorticotropic Hormone-Secreting Pheochromocytoma

Miki SATO; Takayuki WATANABE; Takashi ASHIKAGA; Tsutomu TANEDA; Noriyoshi YAMAWAKE; Mitsuhiro NISHIZAKI; Akihiko ARIMURA; Nobuhisa AZEGAMI; Masataka ARITA; Hiroshi FUKUOKA; Hajime KITAMURA

doi:10.2169/internalmedicine.37.403

Miki SATO, Takayuki WATANABE, Takashi ASHIKAGA, Tsutomu TANEDA, Noriyoshi YAMAWAKE, Mitsuhiro NISHIZAKI, Akihiko ARIMURA, Nobuhisa AZEGAMI, Masataka ARITA, Hiroshi FUKUOKA, Hajime KITAMURA

Author information

Miki SATO
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Takayuki WATANABE
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Takashi ASHIKAGA
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Tsutomu TANEDA
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Noriyoshi YAMAWAKE
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Mitsuhiro NISHIZAKI
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Akihiko ARIMURA
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Nobuhisa AZEGAMI
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Masataka ARITA
The First Department of Internal Medicine, Yokohama Minami Kyosai Hospital
Hiroshi FUKUOKA
The Department of Urology, Yokohama Minami Kyosai Hospital
Hajime KITAMURA
The Department of Pathology , Yokohama Minami Kyosai Hospital

Keywords: adrenal gland neoplasm, ectopic adrenocorticotropic hormone (ACTH) syndrome, Cushing' s syndrome, adrenalectomy

JOURNAL FREE ACCESS

1998 Volume 37 Issue 4 Pages 403-406

DOI https://doi.org/10.2169/internalmedicine.37.403

Details

Abstract

A 41-year-old female had pheochromocytoma which secreted adrenocorticotropic hormone (ACTH). She was admitted to our hospital because of weight loss and excessive sweating. Not only urinary metanephrine but also plasma ACTH was extremely high. An abdominal echogram showed a cystic tumor in the left adrenal gland. An abdominal magnetic resonance imaging scan showed a hyperintense T2-weighted abnormality inside the tumor. Left adrenalectomy was done. The tumor consisted of benign pheochromocytoma cells diffusely stained with anti-ACTH antibody. The present case did not show any typical Cushingoid symptoms which are common in ACTH-secreting pheochromocytomas.
(Internal Medicine 37: 403-406, 1998)

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