Human pathology

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adrenal cytomegaly

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Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...) Focal adrenal cytomegaly in 47,XXX fetus ith ring chromosome (...)

Adrenal cytomegaly is still not well known. It is characterized by the presence of large polyhedral cells with eosinophilic granular cytoplasm and enlarged nuclei in the adrenal cortex. Adrenal cytomegaly is found in 0.8% pediatric autopsies.

Synopsis

- large polyhedral cells in the adrenal cortex

  • eosinophilic granular cytoplasm
  • enlarged nuclei

- false intranuclear inclusions (6264884)

Etiology (Exemples)

- Beckwith-Wiedemann syndrome (1849635, 2845376)
- isolated (3778124, 3838445)

Associations

- diaphragmatic hernia (10879233)

Case records

- Case #10479

References

- Ong BB, Wong KT. Adrenal cytomegaly associated with diaphragmatic hernia: report of a case.Malays J Pathol. 1996 Dec;18(2):121-3. PMID: 10879233

- Fasano M, Greco MA. Proliferative activity of adrenal glands with adrenocortical cytomegaly measured by MIB-1 labeling index. Pediatr Pathol Lab Med. 1996 Sep-Oct;16(5):765-76. PMID: 9025875

- Favara BE, Steele A, Grant JH, Steele P. Adrenal cytomegaly: quantitative assessment by image analysis. Pediatr Pathol. 1991 Jul-Aug;11(4):521-36. PMID: 1946074

- Camuto PM, Wolman SR, Perle MA, Greco MA. Flow cytometry of fetal adrenal glands with adrenocortical cytomegaly. Pediatr Pathol. 1989;9(5):551-8. PMID: 2813201

- Yamashina M. Focal adrenocortical cytomegaly observed in two adult cases. Arch Pathol Lab Med. 1986 Nov;110(11):1072-5. PMID: 3778124

- Feuerstein IM, Tiamson EM. Focal cytomegaly of the adult adrenal cortex. A rare variant of black adenoma. Arch Pathol Lab Med. 1985 Feb;109(2):198-200. PMID: 3838445

- Nakamura Y, Yano H, Nakashima T. False intranuclear inclusions in adrenal cytomegaly. Arch Pathol Lab Med. 1981 Jul;105(7):358-60. PMID: 6264884

- Gau GS, Bennett MJ. Fetal adrenal cytomegaly. J Clin Pathol. 1979 Mar;32(3):305-6. PMID: 429599

- Marsden HB, Zakhour HD. Cytomegalic adrenal hypoplasia with pituitary cytomegaly. Virchows Arch A Pathol Anat Histol. 1978 Jun 2;378(2):105-10. PMID: 149412

- Mamelle JC, David M, Riou D, Gilly J, Trouillas J, Dutruge J, Gilly R. [Congenital adrenal hypoplasia of cytomegalic type. Recessive, sex-linked form. Apropos of 3 cases] Arch Fr Pediatr. 1975 Feb;32(2):139-59. French. PMID: 1217948

- Aterman K, Kerenyi N, Lee M. Adrenal cytomegaly. Virchows Arch A Pathol Pathol Anat. 1972;355(2):105–122.

- Niggemeyer H, Sandhage K. [Thymus gland hyperplasia: congenital, in association with adrenal gland hypoplasia and cytomegaly or myocarditis respectively]. Klin Padiatr. 1972 Nov;184(6):501-7. PMID: 4346363

- Borit A, Kosek J. Cytomegaly of the adrenal cortex. Electron microscopy in Beckwith’s syndrome. Arch Pathol. 1969 Jul;88(1):58-64. PMID: 5793692

- Birdwell TR, Dimmette RM. Cytomegaly of the adrenal gland. An interesting finding: report of three cases. Am J Clin Pathol. 1967 May;47(5):585–587.