女性化副腎腫瘍の1例

A CASE OF FEMINIZING ADRENAL TUMOR

　患者は57歳男性，女性化乳房，高血圧を主訴として来院。各種内分泌検査，CT, MRIなどで，高値の内分泌活性型左副腎腫瘍と診断し手術を施行した。病理学的診断は副腎腺腫であつた。女性化副腎腫瘍は現在まで本邦では7例の報告があるが，いずれも癌腫で，本症例は副腎腺腫として本邦第1例目と思われる。

A 57-year-old male was admitted with complaint of gynecomastia and hypertension. In the endo-crinological studies, high levels of serum and urinary estrogen and aldosterone were observed. An compu-terized tomography revealed the hen egg size mass in the area of left adrenal gland. He was successfully treated with the removal of left adrenal tumor. The specimen was 58g in weight and 6.0×5.0×4.5cm in size, and pathological diagnosis was adrenocortical adenoma.