Feminizing adrenocortical carcinoma with selective suppression of follicle-stimulating hormone secretion and disorganized steroidogenesis: A case report and literature review

Takatoshi Saito, Katsuyoshi Tojo, Nozomu Furuta, Katsuhiko Ono, Hironobu Sasano, Kazunori Utsunomiya

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

We report a 61-year-old male with gynecomastia, poor libido and erectile dysfunction. Endocrinological studies showed high levels of estradiol and dehydroepiandrosterone sulfate. Although luteinizing hormone (LH) level was within the normal limit, the concentration of follicle-stimulating hormone (FSH) was under the normal limit. Delayed response of LH and poor response of FSH to gonadotropin-releasing hormone administration were detected. Magnetic resonance imaging of the abdomen revealed a left adrenal tumor. Although the surgically-resected tumor was diagnosed as a high grade ACC based on Weiss's criteria of adreno-cortical malignancy, no metastasis was detected. Since estrogen levels normalized after resection, feminizing ACC was confirmed. While LH concentration increased slightly after operation, FSH level became transiently elevated over the normal limit, and finally reached the normal range. These data may suggest that FSH was suppressed selectively by hormone produced by ACC different from estrogen.

Original languageEnglish
Pages (from-to)1419-1424
Number of pages6
JournalInternal Medicine
Volume50
Issue number13
DOIs
Publication statusPublished - 2011

Keywords

  • Estrogen-producing tumor
  • Feminizing adenocarcinoma
  • Hyperestrogenemia

ASJC Scopus subject areas

  • Internal Medicine

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