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Cushing Syndrome II: Pathophysiology01:19

Cushing Syndrome II: Pathophysiology

Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features of the...
Adrenal Gland Disorders01:27

Adrenal Gland Disorders

Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Cushing Syndrome I: Introduction01:26

Cushing Syndrome I: Introduction

Cushing syndrome refers to the collection of clinical manifestations that arise when tissues are exposed to excessive amounts of cortisol or cortisol-like medications over an extended period. Cortisol, a glucocorticoid produced by the adrenal cortex, regulates metabolism, immune responses, and the body’s adaptation to stress. When its concentration remains chronically elevated, these physiological pathways become dysregulated, resulting in the characteristic features of the syndrome.Exogenous...
Anatomy of the Adrenal Glands01:17

Anatomy of the Adrenal Glands

The adrenal or supra-renal glands, situated above the kidneys and aligned with the twelfth rib, are paired pyramid-shaped structures crucial for the body's stress response. During stress, these glands secrete hormones vital for adaptive physiological reactions.
These glands possess a distinctive yellow tinge due to the stored cholesterol and fatty acids required for hormone synthesis. They are encased in a fibrous capsule and cushioned by fat.
The adrenal gland comprises two distinct regions...
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
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Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...

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Related Experiment Video

Updated: Jul 9, 2026

In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
09:31

In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses

Published on: March 30, 2015

Functional oncocytic adrenocortical carcinoma.

Abdullah Essa Ali1, Simon J Raphael

  • 1Department of Pathology, Sunnybrook Health Science Centre, 2075 Bayview Avenue, Room E-432, Toronto, ON, M4N 3M5, Canada.

Endocrine Pathology
|December 7, 2007
PubMed
Summary

We report the first case of a rare oncocytic adrenocortical carcinoma in a young man. This malignancy produced both aldosterone and cortisol, presenting with hypertension and hypokalemia.

Area of Science:

  • Endocrinology
  • Oncology
  • Pathology

Background:

  • Adrenocortical carcinoma (ACC) is a rare malignancy.
  • Oncocytic tumors of the adrenal gland are uncommon.
  • Hormone-secreting ACC presents unique diagnostic and therapeutic challenges.

Observation:

  • A 25-year-old male presented with persistent hypertension, hypokalemia, and a large right adrenal mass.
  • Biochemical evaluation showed elevated serum aldosterone, suppressed serum ACTH, and high 24-hour urine cortisol.
  • Histological examination revealed features of malignancy with confirmed oncocytic differentiation via electron microscopy.

Findings:

  • This case represents the first documented instance of an oncocytic adrenocortical carcinoma co-secreting both aldosterone and cortisol.

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  • The tumor exhibited malignant histological features and a distinct oncocytic phenotype.
  • Implications:

    • This case expands the known spectrum of adrenocortical carcinoma phenotypes.
    • Understanding the oncocytic phenotype in hormone-producing ACC is crucial for accurate diagnosis and management.
    • Further research into the molecular mechanisms underlying oncocytic differentiation in ACC may reveal novel therapeutic targets.