Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc
Journal website http://www.jofem.org

Case Report

Volume 5, Number 3, June 2015, pages 226-228

Mifepristone Utilization in Cushing’s From Large Bilateral Adrenal Adenoma Prior to Surgery

Figure

Figure 1.
Figure 1. Right adrenal adenoma measuring 17.5 × 48.7 mm and left adrenal adenoma with focus of calcification measuring 43 × 28.3 mm.

Tables

Table 1. Adrenal Adenoma Functional Evaluation
 
Test (normal range)Result
24-h urine free cortisol (4 - 50 μg/24 h)89.2
1 mg ODST cortisol (5 - 15 μg/dL)15.7
8 mg ODST cortisol (5 - 15 μg/dL)20.0
11 pm salivary cortisol × 2 (< 100 ng/dL)156 and 151
Random cortisol (3 - 22 μg/dL)17.3
Random ACTH (6 - 50 pg/mL)Undetectable
CRH stimulation testNo cortisol or ACTH response

 

Table 2. Adrenal Venous Sampling Site
 
Cortisol (3 - 22 μg/dL)Epinephrine (< 84 pg/mL)
Left adrenal gland84.9433
Right adrenal gland56.51,911
Inferior vena cava11.728