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Pigmented granules in functional black adenoma of the adrenal gland: A histochemical and ultrastructural study

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Abstract

A black adenoma of the adrenal gland was laparoscopically removed from an 61-yr-old Japanese female who had clinical and laboratory findings characteristic of Cushing’s syndrome. The tumor consisted of polygonal cells that contained numerous brown pigmented granules of various sizes by routine hematoxylin-eosin staining. The histochemical study showed that the pigment had the characteristics of lipofuscin, not of melanin or neuromelanin. Electron microscopic study revealed tumor cells with two types of pigmented granules. These results show that there might be differences in the lipid metabolism of individual tumor cells in black adenomas of adrenal; which suggests an interesting histogenesis for these granules.

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References

  1. Robinson MJ, Pardo V, Rywlin AM. Pigmented nodules (black adenoma) of the adrenal. An autopsy study of incidence, morphology and function. Hum Pathol 3:317–325, 1972.

    Article  PubMed  CAS  Google Scholar 

  2. Visser JW, Boeijinga JK, Meer CD. A functioning black adenoma of the adrenal cortex: A clinico-pathological entity. J Clin Pathol 27:955–959, 1974.

    Article  PubMed  CAS  Google Scholar 

  3. Bahu RM, Battifora H, Shambaugh G. Functional black adenoma of the adrenal gland. Arch Pathol 98:139–142, 1974.

    PubMed  CAS  Google Scholar 

  4. Uras A, Budak D, Ariogul O, Gorpe A, Tahsinoglu M. A functional black adenoma of the adrenal gland. Clin Oncol 4:181–186, 1977.

    Google Scholar 

  5. Zaniewski M, Sheeler LR. Cushing’s syndrome associated with functional black adenoma of the adrenal cortex. South Med J 73:1410–1412, 1980.

    PubMed  CAS  Google Scholar 

  6. Komiya I, Takasu N, Aizawa T, Yamada T, Koizumi Y, Hashizume K, Ishihara M, Hiramatsu K, Ichikawa K, Katakura M, Kobayashi M, Yamauchi K, Yanagisawa K, Naka M, Miyamoto T. Black (or brown) adrenal cortical adenoma: its characteristic features on computed tomography and endocrine data. J Clin Endocrinol Metab 61:711–717, 1985.

    Article  PubMed  CAS  Google Scholar 

  7. Cohen RJ, Brits R, Phillips JI, Botha JR. Primary hyperaldosteronism due to a functional black (pigmented) adenoma of the adrenal cortex. Arch Pathol Lab Med 115:813–815, 1991.

    PubMed  CAS  Google Scholar 

  8. Ueda Y, Tanaka H, Murakami H, Ninomiya T, Yamashita Y, Ichikawa M, Kondoh T, Chiba T. A functioning black adenoma of the adrenal gland. Int Med 36:398–402, 1997.

    CAS  Google Scholar 

  9. Suzuki K, Ojima M, Sasano N. Ultrastructure of pigment in adrenocortical pigmented adenomas of Cushing’s syndrome and in non functioning pigmented nodules with respect to tissue steroid analysis. Virchows Arch [Pathol Anat] 405:161–173, 1985.

    Article  CAS  Google Scholar 

  10. Damron TA, Schelper RL, Sorensen L. Cytochemical demonstration of neuromelanin in black pigmented adrenal nodules. Am J Clin Pathol 87:334–341, 1987.

    PubMed  CAS  Google Scholar 

  11. Barden H. The histochemical relationship of neuromelanin and lipofuscin. J Neuropathol Exp Neurol 28:419–441, 1969.

    Article  PubMed  CAS  Google Scholar 

  12. Caplan RH, Virata RL. Functional black adenoma of the adrenal cortex. Am J Clin Pathol 62:97–103, 1974.

    PubMed  CAS  Google Scholar 

  13. Kreutzberg GW, Blakemore WF, Graeber MB. Cellular pathology of the central nervous system. In: Graham DI, Lantos PL, ed. Greenfield’s neuropathology. 6th ed. London, UK: Arnold, 1997.

    Google Scholar 

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Correspondence to Kaori Kameyama MD.

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Kameyama, K., Takami, H. Pigmented granules in functional black adenoma of the adrenal gland: A histochemical and ultrastructural study. Endocr Pathol 10, 353–357 (1999). https://doi.org/10.1007/BF02739778

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