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Adrenal Cortical Adenoma and Adrenal Medullary Hyperplasia of the Right Adrenal Gland—A Case Report

Department of Surgery and the Department of Pathology, Long Island Jewish Memorial Center, New Hyde Park, New York, School of Medicine, State University of New York at Stony Brook, Stony Brook, New York

Paul Katz

Department of Surgery and the Department of Pathology, Long Island Jewish Memorial Center, New Hyde Park, New York, School of Medicine, State University of New York at Stony Brook, Stony Brook, New York

Stanley Lipper

Department of Surgery and the Department of Pathology, Long Island Jewish Memorial Center, New Hyde Park, New York, School of Medicine, State University of New York at Stony Brook, Stony Brook, New York

John B. Chang

Department of Surgery and the Department of Pathology, Long Island Jewish Memorial Center, New Hyde Park, New York, School of Medicine, State University of New York at Stony Brook, Stony Brook, New York

The normal adrenal gland contains two types of tissue, the adrenal cortical tissue and the adrenal medullary tissue. The cortex is divided into three portions: the outermost "zona glomerulosa," the central "zona fasciculata," and the innermost "zona recticularis." The adrenal medulla is a developmentally separate organ, derived from neuroectoderm, and is the site of epinephrine and norepinephrine production.

Adrenal cortical adenoma is commonly the result of a basophilic tumor of the anterior pituitary that secretes excessive amounts of ACTH. Adrenal medullary hyperplasia (or pheochromocytoma) are clinically hazardous tumors because of their excessive secretion of catecholamines. Combined adrenal cortical adenoma and adrenal medullary hyperplasia of the right adrenal gland has never been described previously.

Angiology, Vol. 38, No. 3, 271-274 (1987)
DOI: 10.1177/000331978703800312


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