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[Bilateral adrenal tumoral formation. Regressive spontaneous evolution]
I Tauveron1, H Mosnier-Pudar, H Escourolle
1Clinique des Maladies endocriniennes et métaboliques, Hôpital Cochin, Paris.
Abstract:
A case of bilateral adrenal tumoral formation associated with Addison's disease is reported, and the possible cause of this association is discussed. The short-term deleterious course of metastatic malignancies, hemopathies or severe infections when left without specific treatment, and the long-term course of our patient's tumoral pathology excluded these diagnoses. The spontaneous regression of a bilateral pseudotumoral mass was suggestive of 2 causes: haematoma or tuberculosis. Haematoma was unlikely in the absence of causal factors, and this, combined with the slow regression of the adrenals, made tuberculosis the most probable diagnosis. The few similar cases found in the literature are reviewed.