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  • Title: A black adrenocortical adenoma causing Cushing's syndrome not imaged by radiocholesterol scintigraphy.
    Author: Reschini E, Baldini M, Cantalamessa L.
    Journal: Eur J Nucl Med; 1990; 17(3-4):185-7. PubMed ID: 2279500.
    Abstract:
    In a 33-year-old female patient with left adrenal tumour and Cushing's syndrome, adrenocortical scintigraphy with radiocholesterol did not image the tumour nor the suppressed contralateral gland. Histology showed a black adrenocortical adenoma composed only of compact cells; there was no evidence of malignancy. This demonstrates that non-visualization of the adrenal glands in a patient with Cushing's syndrome is not invariably due to adrenal carcinoma. The literature on black adrenal adenomas causing Cushing's syndrome is reviewed.
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