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Ultrastructural studies of adrenal adenoma causing primary aldosteronism

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Summary

Adrenal adenoma tissue was obtained from 7 patients with the diagnosis of primary aldosteronism and was studied electron microscopically. Spironolactone was administered in 6 of these patients, but not in the remaining patient. Most of the mitochondria of the tumour cells possessed tubular cristae, giving an appearance similar to the mitochondria in the cells of the zona glomerulosa. Spironolactone bodies were seen in the tumour cells of 6 patients who were given spironolactone preoperatively, but were not observed in these cells in the patient not given spironolactone. The literature on the developmental mechanism of this spironolactone body was reviewed.

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References

  • Beskid M, Borowicz J, Kobuszewska-Faryna M, Kwiatkowska J (1978) Histochemical investigation of aldosterone-secreting cells adenoma of the adrenal cortex. Endokrinologie 72:57–65

    Google Scholar 

  • Blanchett EJ (1966) Ovarian steroid cells. II. The lutein cell. J Cell Biol 31:517–542

    Google Scholar 

  • Cain DR, Van De Verde RL, Shapiro SJ (1974) Spironolactone inclusions in an aldosteronoma. Ara J Clin Pathol 61:412–416

    Google Scholar 

  • Cervós-Navarro J, Tonutti E, Garcia-Alvarez F, Bayer JM, Fritz KW (1965) Elektronenmikroskopische Befunde an zwei Connśchen Adenomen der Nebennierenrinde. Endokinrologie 49:35–52

    Google Scholar 

  • Christensen AK (1965) The fine structure of testicular interstitial cells in guinea pigs. J Cell Biol 26:911–935

    Google Scholar 

  • Christensen AK, Fawcett OW (1966) The fine structure of testicular interstitial cells in mice. Am J Anat 118:551–572

    Google Scholar 

  • Conn JW, Hinerman DL (1977) Spironolactone-induced inhibition of aldosterone biosynthesis in primary aldosteronism: Morphological and functional studies. Metabolism 26:1293–1307

    Google Scholar 

  • Davis DA, Medline NM (1970) Spironolactone (Aldactone) bodies: Concentric lamellar formations in the adrenal cortices of patients treated with spironolactone. Am J Clin Pathol 54:22–32

    Google Scholar 

  • Enders AC, Lyons WR (1964) Observations on the fine structure of lutein cells: II. The effects of hypophysectomy and maninotrophic hormone in the rat. J Cell Biol 22:127–141

    Google Scholar 

  • Erbler HC (1972) Stimulation of aldosterone production in vitro and its inhibition by spironolactone. Arch Pharmacol 273:366–375

    Google Scholar 

  • Erbler HC (1973) On the mechanism of the inhibitory action of the spironolactone SC 9376 (Aldactone) on the production of corticosteroids in rat adrenals in vitro. Arch Pharmacol 277:139–149

    Google Scholar 

  • Fisher ER, Horvat B (1971) Ultrastructural features of aldosterone production. Arch Pathol 92:172–179

    Google Scholar 

  • Giacomelli F, Wiener J, Spiro D (1965) Cytological alternations related to stimulation of the zona glomerulosa of the adrenal gland. J Cell Biol 26:499–522

    Google Scholar 

  • Janigan DT (1963) Cytoplasmic bodies in the adrenal cortex of patients treated with spironolactone. Lancet 1:850–852

    Google Scholar 

  • Jenis EH, Hertzog RW (1969) Effect of spironolactone on the zona glomerulosa of the adrenal gland. Arch Pathol 88:530–539

    Google Scholar 

  • Kano K, Sato S, Hama H (1979) Adrenal adenomata causing primary aldosteronism. An ultrastructural study of twenty five cases. Virchow Arch [Pathol Anat] 384:93–102

    Google Scholar 

  • Kovascs K, Harvath E, Singer W (1973) Fine structure and morphogenesis of spironolactone bodies in the zone glomerulosa of the human adrenal cortex. J Clin Pathol 26:949–957

    Google Scholar 

  • Mazzocchi G, Robba C, Gottardo G, Meneghelli V, Nussdorfer GG (1982) Ultrastructure of aldosterone secreting adrenal adenomata. J Submicrosc Cytol 14:179–185

    Google Scholar 

  • Okano K, Yamashita K, Kyo S, Hama R, Nakano K (1972) Electrone microscopic studies on various types of inclusions found in autopsy cases. Part II. Spironolactone inclusion body in autopsy cases and its experimental studies on rhesus monkey. Med J Osaka Univ 23:111–120

    Google Scholar 

  • Propst A (1965) Elektronenmikroskopie der Nebennierenrinde bei primärem Aldosteronismus. Beitr Pathol Anat 131:1–21

    Google Scholar 

  • Reidbord H, Fisher ER (1969) Aldosteronoma and nonfunctioning adrenal cortical adenoma. Arch Pathol 88:155–161

    Google Scholar 

  • Shrago SS, Weisman J, Gooper PH (1975) Spironolactone bodies in an adrenal adenoma. Arch Pathol 99:416–420

    Google Scholar 

  • Sommers SD, Terzakis JA (1970) Ultrastructural study of aldosterone-secreting cells of the adrenal cortex. Am J Clin Pathol 54:303–310

    Google Scholar 

  • Sundsfjord JA, Marton P, Jørgensen H, Aakvaag A (1974) Reduced aldosterone secretion during spironolactone treatment in primary aldosteronism: Report of a case. J Clin Endocrinol Metab 39:734–739

    Google Scholar 

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Kuramoto, H., Kumazawa, J. Ultrastructural studies of adrenal adenoma causing primary aldosteronism. Vichows Archiv A Pathol Anat 407, 271–278 (1985). https://doi.org/10.1007/BF00710652

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  • DOI: https://doi.org/10.1007/BF00710652

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