European Journal of Nuclear Medicine

, Volume 17, Issue 3–4, pp 185–187 | Cite as

A black adrenocortical adenoma causing Cushing's syndrome not imaged by radiocholesterol scintigraphy

  • Eugenio Reschini
  • Marina Baldini
  • Luigi Cantalamessa
Case Report


In a 33-year-old female patient with left adrenal tumour and Cushing's syndrome, adrenocortical scintigraphy with radiocholesterol did not image the tumour nor the suppressed contralateral gland. Histology showed a black adrenocortical adenoma composed only of compact cells; there was no evidence of malignancy. This demonstrates that non-visualization of the adrenal glands in a patient with Cushing's syndrome is not invariably due to adrenal carcinoma. The literature on black adrenal adenomas causing Cushing's syndrome is reviewed.

Key words

Adrenal scintigraphy Adrenocortical adenoma Cushing's syndrome 


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Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • Eugenio Reschini
    • 1
  • Marina Baldini
    • 2
  • Luigi Cantalamessa
    • 2
  1. 1.Service of Nuclear MedicineOspedale Maggiore di MilanoMilanItaly
  2. 2.Institute of Internal Medicine, Infectious Diseases and ImmunopathologyUniversity of MilanItaly

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