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Home > E. Pathology by systems > Endocrine system > Adrenals > adrenocortical micronodular hyperplasia

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adrenocortical micronodular hyperplasia

Synopsis

- adrenal glands
- Cushing syndrome
- germline inactivating mutations of the gene PDE11A4 that encodes phosphodiesterase11A4 (20351491)
- possible primary pigmented nodular adrenocortical disease (20351491)

  • also known to be caused by inactivating mutations of the PRKAR1A gene
  • numerous pigmented micronodules developed

Etiology

- inactivating mutations in the 2q-located phosphodiesterase 11A (PDE11A) gene (20351491)

  • The gene is expressed in the adrenal cortex and catalyses the hydrolysis of cyclic adenosine monophosphate and cyclic guanosine monophosphate.

Associations

- adrenal adenomatoid tumor (14506647)

See also

- adrenocortical macronodular hyperplasia
- adrenocortical tumors
- Cushing syndrome
- aberrant cyclic AMP signaling (cAMP signaling pathway)
- adrenocortical hyperplasia

References

- Familial micronodular adrenocortical disease, Cushing syndrome, and mutations of the gene encoding phosphodiesterase 11A4 (PDE11A). Carney JA, Gaillard RC, Bertherat J, Stratakis CA. Am J Surg Pathol. 2010 Apr;34(4):547-55. PMID: 20351491

- Horvath A, Giatzakis C, Robinson-White A, Boikos S, Levine E, Griffin K, Stein E, Kamvissi V, Soni P, Bossis I, de Herder W, Carney JA, Bertherat J, Gregersen PK, Remmers EF, Stratakis CA. Adrenal hyperplasia and adenomas are associated with inhibition of phosphodiesterase 11A in carriers of PDE11A sequence variants that are frequent in the population. Cancer Res. 2006 Dec 15;66(24):11571-5. PMID: 17178847

- Chung-Park M, Yang JT, McHenry CR, Khiyami A. Related Articles, Links Adenomatoid tumor of the adrenal gland with micronodular adrenal cortical hyperplasia. Hum Pathol. 2003 Aug;34(8):818-21. PMID: 14506647

- Aiba M, Hirayama A, Iri H, Kodama T, Fujimoto Y, Kusakabe K, Akama H, Murai M, Tazaki H. Primary adrenocortical micronodular dysplasia: enzyme histochemical and ultrastructural studies of two cases with a review of the literature. Hum Pathol. 1990 May;21(5):503-11. PMID: 2186994

- Danoff A, Jormark S, Lorber D, Fleischer N. Adrenocortical micronodular dysplasia, cardiac myxomas, lentigines, and spindle cell tumors. Report of a kindred. Arch Intern Med. 1987 Mar;147(3):443-8. PMID: 3827421