Łagodne guzy nadnerczy
Etiologia i przyczyny

Łagodne guzy nadnerczy, takie jak gruczolaki kory nadnerczy i pheochromocytoma, stanowią heterogenną grupę zmian o złożonej etiologii, w której kluczową rolę odgrywają mutacje genetyczne w genach takich jak CTNNB1, PRKACA, GNAS1, KCNJ5 oraz inne związane z szlakiem cAMP/PKA i kanałami jonowymi. Około 15-35% przypadków jest powiązanych z dziedzicznymi zespołami genetycznymi, m.in. MEN1, MEN2, VHL, NF1 czy zespołem McCune-Albright. Guzy te mogą być hormonalnie czynne (około 15%), prowadząc do zespołu Cushinga (nadprodukcja kortyzolu), pierwotnego hiperaldosteronizmu (aldosteronoma) lub nadmiernej produkcji katecholamin (pheochromocytoma). Diagnostyka opiera się na ocenie aktywności hormonalnej, badaniach obrazowych oraz analizie genetycznej, a w przypadku guzów hormonalnie nieczynnych (około 85%) często są one wykrywane przypadkowo (incidentaloma). Wartości kliniczne obejmują m.in. nadciśnienie tętnicze, hipokaliemię oraz ryzyko powikłań sercowo-naczyniowych, co podkreśla konieczność dokładnej oceny i monitorowania pacjentów.

Etiologia łagodnych guzów nadnerczy

Łagodne guzy nadnerczy (adenoma adrenale) to niezłośliwe masy tkankowe, które tworzą się w obrębie gruczołów nadnerczowych. Nadnercza, będące częścią układu endokrynnego, produkują hormony regulujące liczne procesy fizjologiczne w organizmie. Dokładna przyczyna powstawania łagodnych guzów nadnerczy często pozostaje nieznana, jednak badania wskazują na złożoną interakcję czynników genetycznych, hormonalnych i środowiskowych.123

Czynniki genetyczne i dziedziczne

Badania genetyczne wskazują na istotny udział mutacji genowych w patogenezie łagodnych guzów nadnerczy. W ostatniej dekadzie nastąpił znaczący postęp w zrozumieniu genetycznego podłoża tych zmian. Mutacje w określonych genach zostały powiązane zarówno z hormonalnie czynnymi, jak i nieczynnymi guzami nadnerczy.45

Do najważniejszych mutacji genowych związanych z rozwojem łagodnych guzów nadnerczy należą:

  • Mutacje w genie CTNNB1 (odpowiedzialnym za produkcję beta-kateniny w szlaku Wnt/beta-katenina) – związane z rozwojem większych, niewydzielających hormonów gruczolaków kory nadnerczy67
  • Mutacje związane z nadnerczowymi guzami wydzielającymi kortyzol: PRKACA, GNAS1 (związany z zespołem McCune-Albright), MENIN (związany z zespołem MEN1), ARMC5, APC i FH89
  • Mutacje związane z mikroguzkową hiperplazją nadnerczy wytwarzającą kortyzol: PRKAR1A, PDE11A i PDE8B10
  • Mutacje związane z gruczolakami wydzielającymi aldosteron: KCNJ5 (odpowiada za około 40% takich przypadków), ATP1A1, ATP2B3, CACNA1D i CTNNB11112

Badania wykazały, że nieprawidłowa aktywacja szlaku sygnałowego cAMP/PKA (cykliczny adenozynomonofosforan/kinaza białkowa A) ma kluczowe znaczenie w rozwoju łagodnych hormonalnie czynnych guzów kory nadnerczy. Szlak ten odgrywa istotną rolę w rozwoju, proliferacji i funkcjonowaniu komórek kory nadnerczy.13

Zespoły dziedziczne zwiększające ryzyko

Około 15-35% przypadków łagodnych guzów nadnerczy występuje w powiązaniu z dziedzicznymi zespołami genetycznymi. Do najważniejszych należą:141516

  • Zespół gruczolakowatości wewnątrzwydzielniczej typu 1 (MEN1) – związany z mutacją genu MENIN, predysponuje do rozwoju guzów przysadki, przytarczyc, trzustki oraz nadnerczy (u około 30-50% pacjentów)1718
  • Zespół gruczolakowatości wewnątrzwydzielniczej typu 2 (MEN2) – predysponuje do rozwoju guzów chromochłonnych nadnerczy (pheochromocytoma)1920
  • Rodzinna polipowatość gruczolakowata (FAP) – chorzy mają zwiększone ryzyko rozwoju gruczolaków nadnerczy2122
  • Zespół Li-Fraumeni – związany z mutacją genu TP53, zwiększa ryzyko rozwoju guzów nadnerczy oraz innych nowotworów2324
  • Zespół von Hippla-Lindaua (VHL) – predysponuje do rozwoju guzów w nadnerczach i innych narządach2526
  • Zespół Carneya – rzadka choroba powodująca powstawanie guzów w sercu, skórze, nerwach i gruczołach endokrynnych, w tym nadnerczach2728
  • Nerwiakowłókniakowatość typu 1 (NF1) – zwiększa ryzyko rozwoju guzów chromochłonnych2930
  • Zespół Beckwitha-Wiedemanna – zwiększa ryzyko rozwoju guzów kory nadnerczy, szczególnie u dzieci3132
  • Zespół McCune-Albright – związany z mutacją GNAS13334
  • Zespół paraganglioma – związany z rozwojem guzów chromochłonnych3536
  • Dziedziczny obustronny gruczolak nadnerczy – związany z mutacją genu ARMC537

Czynniki środowiskowe i styl życia

Oprócz czynników genetycznych, badania wskazują na pewne czynniki środowiskowe i związane ze stylem życia, które mogą zwiększać ryzyko rozwoju łagodnych guzów nadnerczy:3839

  • Palenie tytoniu – zarówno aktywne palenie, jak i używanie tytoniu bezdymnego zostało powiązane ze zwiększonym ryzykiem rozwoju gruczolaków nadnerczy4041
  • Otyłość – nadmierna masa ciała może predysponować do rozwoju gruczolaków nadnerczy4243
  • Ekspozycja na karcynogeny – długotrwałe narażenie na substancje rakotwórcze może wpływać na rozwój guzów nadnerczy4445
  • Czynniki hormonalne – długotrwała ekspozycja na nadmierne ilości hormonów, takich jak hormon adrenokortykotropowy (ACTH), może przyczyniać się do wzrostu guzów nadnerczy46
  • Zaburzenia metaboliczne – schorzenia związane z zaburzeniami hormonalnymi, takie jak cukrzyca typu 2, mogą mieć związek z rozwojem guzów nadnerczy47

Inne czynniki ryzyka

Badania wskazują również na dodatkowe czynniki zwiększające ryzyko rozwoju łagodnych guzów nadnerczy:4849

  • Wiek – częstość występowania gruczolaków nadnerczy wzrasta z wiekiem. Do 70. roku życia około 10% populacji może mieć gruczolaki nadnerczy5051
  • Płeć – gruczolaki nadnerczy występują częściej u kobiet niż u mężczyzn52
  • Wcześniejsze usunięcie guza nadnercza – historia chirurgicznego usunięcia guza nadnercza zwiększa ryzyko rozwoju kolejnego5354
  • Rodzinne występowanie – historia łagodnych guzów nadnerczy w rodzinie zwiększa ryzyko ich rozwoju5556

Klonalność guzów nadnerczy

Interesujące są badania nad klonalnością guzów nadnerczy, które dostarczają dodatkowych informacji na temat ich patogenezy. Większość łagodnych zmian nadnerczowych wykazuje charakter poliklonalny, co sugeruje udział wielu linii komórkowych w ich powstawaniu. Jednak niektóre guzy nadnerczy, zarówno łagodne jak i złośliwe, wykazują monoklonalną proliferację, wskazując na genetyczne zmiany w określonych loci genomowych jako istotny czynnik w procesie powstawania guza.57

Przebudowy chromosomowe obecne w łagodnych i złośliwych guzach nadnerczy są podobne, jak np. zmiana szlaku beta-kateniny. Jednak te przebudowy chromosomowe występują częściej w guzach złośliwych w porównaniu do zmian łagodnych, co sugeruje stopniową progresję nowotworową.58

Klasyfikacja łagodnych guzów nadnerczy

Łagodne guzy nadnerczy można klasyfikować w różny sposób, najczęściej w zależności od ich lokalizacji w obrębie nadnercza oraz aktywności hormonalnej:5960

Klasyfikacja według lokalizacji

  • Guzy kory nadnerczy (adrenal cortex):
    • Gruczolaki kory nadnerczy (adrenal adenomas) – najczęstszy typ łagodnych guzów nadnerczy6162
    • Hiperplazja guzkowa kory nadnerczy (macronodular hyperplasia) – powoduje powiększenie nadnerczy i może prowadzić do nadmiernej produkcji kortyzolu63
  • Guzy rdzenia nadnerczy (adrenal medulla):
    • Pheochromocytoma – rzadki typ guza, który może być łagodny (ok. 85-90% przypadków) lub złośliwy (10-15% przypadków)6465
  • Inne łagodne guzy nadnerczy:
    • Myelolipoma – łagodny nowotwór mezenchymalny i podścieliskowy nadnerczy6667
    • Guz adenomatoidny nadnerczy (adrenal adenomatoid tumor)68

Klasyfikacja według aktywności hormonalnej

Pod względem aktywności hormonalnej, łagodne guzy nadnerczy dzieli się na:6970

  • Guzy hormonalnie nieczynne (non-functioning) – nie wydzielają hormonów w nadmiernych ilościach i zazwyczaj nie powodują objawów. Stanowią większość (około 85%) łagodnych guzów nadnerczy i często są wykrywane przypadkowo podczas badań obrazowych wykonywanych z innych powodów (tzw. incidentaloma)7172
  • Guzy hormonalnie czynne (functioning) – wydzielają nadmierne ilości hormonów, co prowadzi do objawów klinicznych. Około 15% łagodnych gruczolaków nadnerczy jest hormonalnie czynnych. W zależności od produkowanego hormonu wyróżnia się:7374
    • Guzy wydzielające kortyzol – mogą prowadzić do zespołu Cushinga7576
    • Guzy wydzielające aldosteron (aldosteronoma) – mogą powodować zespół Conna (pierwotny hiperaldosteronizm)7778
    • Guzy wydzielające katecholaminy (pheochromocytoma) – powodują nadprodukcję adrenaliny i noradrenaliny7980
    • Guzy wydzielające hormony płciowe – bardzo rzadkie, częściej związane z guzami złośliwymi8182

Warto zauważyć, że niektóre hormonalnie nieczynne gruczolaki nadnerczy mogą z czasem stać się czynnymi, jednak nie przechodzą w postać złośliwą.83

Szczególne typy łagodnych guzów nadnerczy

Pheochromocytoma

Pheochromocytoma to rzadki guz wywodzący się z komórek chromochłonnych rdzenia nadnerczy. Większość przypadków (85-90%) stanowią guzy łagodne, jednak nawet one mogą powodować poważne problemy zdrowotne ze względu na nadmierną produkcję katecholamin (adrenaliny i noradrenaliny).8485

Przyczyna powstawania pheochromocytoma w większości przypadków pozostaje nieznana, jednak około 25-35% przypadków jest związanych z dziedzicznymi zespołami genetycznymi, takimi jak:8687

  • Zespół gruczolakowatości wewnątrzwydzielniczej typu 2 (MEN2A i MEN2B)
  • Zespół von Hippla-Lindaua (VHL)
  • Nerwiakowłókniakowatość typu 1 (NF1)
  • Dziedziczny zespół paraganglioma
  • Diada Carneya-Stratakisa
  • Triada Carneya

Pheochromocytoma może być również spowodowany mutacjami w co najmniej 10 różnych genach.88

Gruczolaki wydzielające kortyzol

Gruczolaki wydzielające kortyzol to łagodne guzy kory nadnerczy, które prowadzą do nadmiernej produkcji kortyzolu, powodując zespół Cushinga. Mogą one występować jako pojedyncze guzy (adenoma) lub jako rozrost guzkowy kory nadnerczy (macronodular hyperplasia).8990

W patogenezie tych guzów znaczącą rolę odgrywają mutacje w genach związanych ze szlakiem sygnałowym cAMP/PKA, takich jak PRKACA, GNAS1, PRKAR1A i inne.91

Gruczolaki wydzielające aldosteron

Gruczolaki wydzielające aldosteron (aldosteronoma) to łagodne guzy kory nadnerczy, które prowadzą do nadmiernej produkcji aldosteronu, powodując pierwotny hiperaldosteronizm (zespół Conna). Charakteryzują się klinicznie nadciśnieniem tętniczym z towarzyszącą hipokaliemią.92

W patogenezie tych guzów istotną rolę odgrywają mutacje w genach kodujących kanały jonowe lub pompy, takich jak KCNJ5, ATP1A1, ATP2B3, CACNA1D. Mutacje te prowadzą do zaburzenia transportu jonów i depolaryzacji błony komórkowej, co zwiększa transkrypcję syntazy aldosteronu i nadprodukcję aldosteronu poprzez aktywację kanałów wapniowych zależnych od napięcia i wewnątrzkomórkowej sygnalizacji wapniowej.93

Guzy wydzielające hormony płciowe

Guzy nadnerczy wydzielające hormony płciowe są niezwykle rzadkie. W przypadku guzów wydzielających androgeny, około 75% stanowią raki kory nadnerczy, a pozostałe to gruczolaki.94

Guzy wydzielające estrogeny są jeszcze rzadsze i w większości przypadków mają charakter złośliwy, choć opisano pojedyncze przypadki łagodnych guzów wydzielających estrogeny.95

Trudność w rozróżnieniu między łagodnymi a złośliwymi guzami wydzielającymi hormony płciowe sprawia, że w diagnostyce uwzględnia się wyniki badań radiologicznych (jednostki Hounsfielda), klinicznych (monitorowanie poziomów hormonów) oraz histopatologicznych (skala Weissa i indeks Ki-67).96

Incidentaloma nadnerczy

Incidentaloma nadnerczy to termin określający guzy nadnerczy wykryte przypadkowo podczas badań obrazowych wykonywanych z innych powodów medycznych. Ponad 90% przypadkowo odkrytych guzów nadnerczy ma charakter łagodny, jednak wszystkie wymagają dalszej diagnostyki, ponieważ mogą reprezentować różne typy guzów nadnerczowych.97

Guzy te występują u około 2-3% dorosłych w ciągu życia, a częstość ich wykrywania wzrasta z wiekiem. Większość incidentaloma to łagodne, niewydzielające hormony gruczolaki, które nie wymagają leczenia, jednak około 15% może wykazywać aktywność hormonalną.9899

W niektórych badaniach sugeruje się związek z nieprawidłowościami chromosomalnymi i genetycznymi (geny kodujące p53 i p57). Markery nowotworowe są również obecne w innych zespołach, np. gen MEN1 jest powiązany z zespołem gruczolakowatości wewnątrzwydzielniczej typu 1, a gen hybrydowy aldosyntazy/11-beta hydroksylazy jest związany z hiperaldosteronizmem wrażliwym na glikokortykosteroidy.100

Znaczenie kliniczne łagodnych guzów nadnerczy

Łagodne guzy nadnerczy, mimo że nie są nowotworami złośliwymi, mogą mieć istotne znaczenie kliniczne, szczególnie gdy są hormonalnie czynne.101102

Gruczolaki wydzielające kortyzol mogą prowadzić do zespołu Cushinga, charakteryzującego się takimi objawami jak przyrost masy ciała, osłabienie mięśni, rozstępy skórne, nadciśnienie tętnicze i zaburzenia metaboliczne.103

Gruczolaki wydzielające aldosteron (aldosteronoma) powodują pierwotny hiperaldosteronizm, którego głównym objawem jest nadciśnienie tętnicze trudne do kontroli farmakologicznego oraz hipokaliemia.104

Pheochromocytoma, nawet gdy ma charakter łagodny, może prowadzić do poważnych powikłań związanych z nadmiernym wydzielaniem katecholamin, takich jak przełomowe nadciśnienie tętnicze, zaburzenia rytmu serca, napady lękowe i nadmierna potliwość.105

Nieleczone nadciśnienie tętnicze związane z gruczolakami nadnerczy może prowadzić do poważnych powikłań, takich jak udar mózgu, zawał mięśnia sercowego, niewydolność serca i uszkodzenie nerek, co podkreśla wagę właściwej diagnostyki i leczenia.106

Podsumowanie etiologii łagodnych guzów nadnerczy

Etiologia łagodnych guzów nadnerczy jest złożona i nie zawsze możliwa do jednoznacznego określenia. Badania wskazują na istotną rolę czynników genetycznych, w tym mutacji w określonych genach oraz dziedzicznych zespołów genetycznych. Coraz więcej dowodów wskazuje również na znaczenie czynników środowiskowych i stylu życia, takich jak palenie tytoniu i otyłość.107108

Postęp w genetyce molekularnej i badaniach nad patogenezą guzów nadnerczy przyczynia się do lepszego zrozumienia mechanizmów odpowiedzialnych za ich powstawanie, co może prowadzić do opracowania bardziej skutecznych metod diagnostycznych i terapeutycznych.109

Należy podkreślić, że większość łagodnych guzów nadnerczy nie wymaga leczenia, zwłaszcza gdy są hormonalnie nieczynne. Jednak wszystkie przypadki wymagają dokładnej diagnostyki w celu wykluczenia złośliwego charakteru guza oraz oceny aktywności hormonalnej, która może wymagać interwencji terapeutycznej.110111

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  1. 10.04.2026
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Materiały źródłowe

  • #1 Benign adrenal tumors – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/benign-adrenal-tumors/symptoms-causes/syc-20356190
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. The adrenal glands are part of the endocrine system. These glands make hormones that send messages to nearly every organ and tissue in the body. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #2 Adenoma of the Adrenal Gland: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17769-adrenal-adenoma
    Adrenal adenomas are benign (noncancerous) tumors in your adrenal glands. […] Researchers dont know what causes an adrenal adenoma or other benign adrenal gland tumors to form. Still, certain genetic conditions may increase your risk, including: Multiple endocrine neoplasia, type 1 (MEN1), Familial adenomatous polyposis (FAP), Carney complex, Li-Fraumeni syndrome, Multiple endocrine neoplasia type 2 (MEN2), Neurofibromatosis Type 1. […] Obesity and tobacco use may also increase your chances of having an adrenal adenoma.
  • #3 Adrenal Gland Tumor: Symptoms, Causes, Treatment
    https://www.healthline.com/health/adrenal-gland-tumor
    An adrenal gland tumor is an abnormal growth in the adrenal glands. The exact cause of adrenal gland tumors remains unclear. Its believed that a combination of genetic mutations, hormonal influences, and environmental factors likely contributes to their development. […] Factors such as obesity and tobacco use might increase the likelihood of developing adrenal adenoma. […] Certain genetic conditions are also associated with an increased risk of adrenal tumors, including familial adenomatous polyposis (FAP), multiple endocrine neoplasia, type 1 (MEN1), Li-Fraumeni syndrome, Carney complex, neurofibromatosis type 1, and multiple endocrine neoplasia type 2 (MEN2).
  • #4 Adrenal Adenoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539906/
    Genetic understanding of adrenal adenomas, similar to many other areas of medicine, is evolving rapidly. Certain genetic mutations have been linked to both hormonally active and hormonally inactive adrenal adenomas. However, the precise mechanisms underlying their pathogenesis remain unclear. […] Mutations in the CTNNB1 genes, which provide instructions for making beta-catenin (Wnt/beta-catenin pathway), have been associated with the development of larger, nonsecreting adrenocortical adenomas. […] The mutations associated with macronodular cortisol-producing adrenal nodules include PRKACA(associated with cortisol-producing adenoma), GNAS1(linked to McCune-Albright syndrome), MENIN(related to multiple endocrine neoplasm type 1), ARMC5(associated with primary bilateral macronodular adrenal hyperplasia), APC(associated with primary bilateral macronodular adrenal hyperplasia), and FH(related to primary bilateral macronodular adrenal hyperplasia). […] The mutations associated with aldosterone-producing adrenal adenomas include KCNJ5, which accounts for approximately 40% of such cases. In addition, mutations in ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have also been associated with this condition.
  • #5 Genetic Alterations in Benign Adrenal Tumors
    https://www.mdpi.com/2227-9059/10/5/1041
    The genetic basis of most types of adrenal adenomas has been elucidated over the past decade, leading to the association of adrenal gland pathologies with specific molecular defects. Various genetic studies have established links between variants affecting the protein kinase A (PKA) signaling pathway and benign cortisol-producing adrenal lesions. Specifically, genetic alterations in GNAS, PRKAR1A, PRKACA, PRKACB, PDE11A, and PDE8B have been identified. […] The genetic background of primary adrenal lesions has been unraveled through advances in the field of genomics over the past decade. The initial clues to our understanding came from a study of rare familial tumor syndromes and the identification of germline and somatic pathogenic variants in CS and primary aldosteronism (PA). These discoveries have facilitated the classification of adrenocortical lesions more accurately based on the causal gene while the genetic screening and counseling can be more individualized to each patient.
  • #6 Adrenal Adenoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539906/
    Genetic understanding of adrenal adenomas, similar to many other areas of medicine, is evolving rapidly. Certain genetic mutations have been linked to both hormonally active and hormonally inactive adrenal adenomas. However, the precise mechanisms underlying their pathogenesis remain unclear. […] Mutations in the CTNNB1 genes, which provide instructions for making beta-catenin (Wnt/beta-catenin pathway), have been associated with the development of larger, nonsecreting adrenocortical adenomas. […] The mutations associated with macronodular cortisol-producing adrenal nodules include PRKACA(associated with cortisol-producing adenoma), GNAS1(linked to McCune-Albright syndrome), MENIN(related to multiple endocrine neoplasm type 1), ARMC5(associated with primary bilateral macronodular adrenal hyperplasia), APC(associated with primary bilateral macronodular adrenal hyperplasia), and FH(related to primary bilateral macronodular adrenal hyperplasia). […] The mutations associated with aldosterone-producing adrenal adenomas include KCNJ5, which accounts for approximately 40% of such cases. In addition, mutations in ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have also been associated with this condition.
  • #7 Adrenal Adenoma – MD Searchlight
    https://mdsearchlight.com/hormones-and-body-chemistry/adrenal-adenoma/
    Adrenal adenomas are non-cancerous growths that originate from the adrenal cortex, a part of the adrenal glands. […] Our understanding of the genetics behind adrenal adenomas, or benign tumors in the adrenal gland, is changing quickly. Specific genetic changes have been tied to these tumors, both those that are hormonally active and non-active. However, scientists aren’t exactly sure how these changes lead to the formation of these tumors. […] Changes in a gene called CTNNB1, which makes a protein known as beta-catenin, have been tied to the development of larger adrenal adenomas that don’t secrete hormones. […] Certain genes, such as PRKACA, GNAS1, MENIN, ARMC5, APC, and FH, have been associated with large cortisol-producing adrenal nodules. […] Smaller cortisol-producing adrenal nodules, also known as micronodular adrenal hyperplasias, result from mutations in other genes such as PRKAR1A, PDE11A, and PDE8B. […] Mutations in genes like KCNJ5, ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have been tied to aldosterone-producing adrenal adenomas. These types of adenomas are adrenal tumors that overproduce the hormone aldosterone. The KCNJ5 gene mutation accounts for around 40% of these cases.
  • #8 Adrenal Adenoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539906/
    Genetic understanding of adrenal adenomas, similar to many other areas of medicine, is evolving rapidly. Certain genetic mutations have been linked to both hormonally active and hormonally inactive adrenal adenomas. However, the precise mechanisms underlying their pathogenesis remain unclear. […] Mutations in the CTNNB1 genes, which provide instructions for making beta-catenin (Wnt/beta-catenin pathway), have been associated with the development of larger, nonsecreting adrenocortical adenomas. […] The mutations associated with macronodular cortisol-producing adrenal nodules include PRKACA(associated with cortisol-producing adenoma), GNAS1(linked to McCune-Albright syndrome), MENIN(related to multiple endocrine neoplasm type 1), ARMC5(associated with primary bilateral macronodular adrenal hyperplasia), APC(associated with primary bilateral macronodular adrenal hyperplasia), and FH(related to primary bilateral macronodular adrenal hyperplasia). […] The mutations associated with aldosterone-producing adrenal adenomas include KCNJ5, which accounts for approximately 40% of such cases. In addition, mutations in ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have also been associated with this condition.
  • #9 Adrenal Adenoma – MD Searchlight
    https://mdsearchlight.com/hormones-and-body-chemistry/adrenal-adenoma/
    Adrenal adenomas are non-cancerous growths that originate from the adrenal cortex, a part of the adrenal glands. […] Our understanding of the genetics behind adrenal adenomas, or benign tumors in the adrenal gland, is changing quickly. Specific genetic changes have been tied to these tumors, both those that are hormonally active and non-active. However, scientists aren’t exactly sure how these changes lead to the formation of these tumors. […] Changes in a gene called CTNNB1, which makes a protein known as beta-catenin, have been tied to the development of larger adrenal adenomas that don’t secrete hormones. […] Certain genes, such as PRKACA, GNAS1, MENIN, ARMC5, APC, and FH, have been associated with large cortisol-producing adrenal nodules. […] Smaller cortisol-producing adrenal nodules, also known as micronodular adrenal hyperplasias, result from mutations in other genes such as PRKAR1A, PDE11A, and PDE8B. […] Mutations in genes like KCNJ5, ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have been tied to aldosterone-producing adrenal adenomas. These types of adenomas are adrenal tumors that overproduce the hormone aldosterone. The KCNJ5 gene mutation accounts for around 40% of these cases.
  • #10 Adrenal Adenoma – MD Searchlight
    https://mdsearchlight.com/hormones-and-body-chemistry/adrenal-adenoma/
    Adrenal adenomas are non-cancerous growths that originate from the adrenal cortex, a part of the adrenal glands. […] Our understanding of the genetics behind adrenal adenomas, or benign tumors in the adrenal gland, is changing quickly. Specific genetic changes have been tied to these tumors, both those that are hormonally active and non-active. However, scientists aren’t exactly sure how these changes lead to the formation of these tumors. […] Changes in a gene called CTNNB1, which makes a protein known as beta-catenin, have been tied to the development of larger adrenal adenomas that don’t secrete hormones. […] Certain genes, such as PRKACA, GNAS1, MENIN, ARMC5, APC, and FH, have been associated with large cortisol-producing adrenal nodules. […] Smaller cortisol-producing adrenal nodules, also known as micronodular adrenal hyperplasias, result from mutations in other genes such as PRKAR1A, PDE11A, and PDE8B. […] Mutations in genes like KCNJ5, ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have been tied to aldosterone-producing adrenal adenomas. These types of adenomas are adrenal tumors that overproduce the hormone aldosterone. The KCNJ5 gene mutation accounts for around 40% of these cases.
  • #11 Adrenal Adenoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539906/
    Genetic understanding of adrenal adenomas, similar to many other areas of medicine, is evolving rapidly. Certain genetic mutations have been linked to both hormonally active and hormonally inactive adrenal adenomas. However, the precise mechanisms underlying their pathogenesis remain unclear. […] Mutations in the CTNNB1 genes, which provide instructions for making beta-catenin (Wnt/beta-catenin pathway), have been associated with the development of larger, nonsecreting adrenocortical adenomas. […] The mutations associated with macronodular cortisol-producing adrenal nodules include PRKACA(associated with cortisol-producing adenoma), GNAS1(linked to McCune-Albright syndrome), MENIN(related to multiple endocrine neoplasm type 1), ARMC5(associated with primary bilateral macronodular adrenal hyperplasia), APC(associated with primary bilateral macronodular adrenal hyperplasia), and FH(related to primary bilateral macronodular adrenal hyperplasia). […] The mutations associated with aldosterone-producing adrenal adenomas include KCNJ5, which accounts for approximately 40% of such cases. In addition, mutations in ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have also been associated with this condition.
  • #12 Adrenal Adenoma – MD Searchlight
    https://mdsearchlight.com/hormones-and-body-chemistry/adrenal-adenoma/
    Adrenal adenomas are non-cancerous growths that originate from the adrenal cortex, a part of the adrenal glands. […] Our understanding of the genetics behind adrenal adenomas, or benign tumors in the adrenal gland, is changing quickly. Specific genetic changes have been tied to these tumors, both those that are hormonally active and non-active. However, scientists aren’t exactly sure how these changes lead to the formation of these tumors. […] Changes in a gene called CTNNB1, which makes a protein known as beta-catenin, have been tied to the development of larger adrenal adenomas that don’t secrete hormones. […] Certain genes, such as PRKACA, GNAS1, MENIN, ARMC5, APC, and FH, have been associated with large cortisol-producing adrenal nodules. […] Smaller cortisol-producing adrenal nodules, also known as micronodular adrenal hyperplasias, result from mutations in other genes such as PRKAR1A, PDE11A, and PDE8B. […] Mutations in genes like KCNJ5, ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have been tied to aldosterone-producing adrenal adenomas. These types of adenomas are adrenal tumors that overproduce the hormone aldosterone. The KCNJ5 gene mutation accounts for around 40% of these cases.
  • #13 Genetic Alterations in Benign Adrenal Tumors
    https://www.mdpi.com/2227-9059/10/5/1041
    In CS, aberrant cyclic adenosine monophosphate (cAMP)-protein kinase A (PKA) signaling has been found to be implicated in the majority of the benign cortisol-secreting ATCs. […] The cAMP/protein kinase A (PKA) pathway plays a vital role in adrenocortical cell development, proliferation, and function. […] The majority of them encode ion channels or pumps, and genetic alterations lead to ion transport impairment and cell membrane depolarization which further increase aldosterone synthase transcription and aldosterone overproduction though activation of voltage-gated calcium channels and intracellular calcium signaling. […] This review aims to describe the causative molecular alternations in benign ATCs.
  • #14 Adenoma of the Adrenal Gland: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17769-adrenal-adenoma
    Adrenal adenomas are benign (noncancerous) tumors in your adrenal glands. […] Researchers dont know what causes an adrenal adenoma or other benign adrenal gland tumors to form. Still, certain genetic conditions may increase your risk, including: Multiple endocrine neoplasia, type 1 (MEN1), Familial adenomatous polyposis (FAP), Carney complex, Li-Fraumeni syndrome, Multiple endocrine neoplasia type 2 (MEN2), Neurofibromatosis Type 1. […] Obesity and tobacco use may also increase your chances of having an adrenal adenoma.
  • #15 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    Some people may inherit conditions that increase their risk of adrenal adenoma, including: McCune Albright syndrome (GNAS1 genetic mutation), Multiple endocrine neoplasm type 1 (MENIN genetic mutation), Hereditary bilateral adrenal adenoma (ARMC5 genetic mutation), CTNNB1 genetic mutation, PRKACA genetic mutation, KCNJ5 genetic mutation, ATP1A1 genetic mutation, ATP2B3 genetic mutation, CACNA1D genetic mutation, CTNNB1 genetic mutation. […] People are more likely to develop adrenal adenomas if they: Smoke tobacco products, Use smokeless tobacco.
  • #16 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #17 Adrenal Cancer Risk Factors | Genetics & Adrenal Cancer | American Cancer Society
    https://www.cancer.org/cancer/types/adrenal-cancer/causes-risks-prevention/risk-factors.html
    Most adrenal cortex cancers are not inherited (they are sporadic), but some (up to 15%) are caused by a genetic defect. This is more common in adrenal cancers in children. […] People with MEN1 have a very high risk of developing tumors of 3 glands: the pituitary, parathyroid, and pancreas. About one-third to one-half of people with this condition also develop adrenal tumors. In most cases, these adrenal tumors are adenomas (benign) and non-functional (do not make hormones). […] People with Beckwith-Wiedemann syndrome have large tongues, are tall, and have an increased risk for developing cancers of the kidney, liver and adrenal cortex. […] But, most adrenal tumors in people with FAP are benign adenomas. […] Smoking, in particular, has been suggested as a risk factor for adrenal cancer.
  • #18 What Causes Adrenal Gland Tumors? | Roswell Park Comprehensive Cancer Center – Buffalo, NY
    https://www.roswellpark.org/cancer/adrenal/about/risk-factors
    Lynch syndrome (also called hereditary nonpolyposis colorectal cancer) increases risk for colorectal cancer and other gastrointestinal and urinary tract cancers. […] Multiple Endocrine Neoplasia Syndrome (MEN1 or MEN2). People with this syndrome are at increased risk for developing tumors or abnormal growth of the adrenal glands (pheochromocytomas), thyroid gland, parathyroid gland, oral cavity and intestinal lining. […] Neurofibromatosis type 1 leads to nerve tissue tumors in several body areas, including the adrenal glands. […] Von Hippel-Lindau (VHL) syndrome. People with VHL face increased risk for developing tumors in the adrenal glands (pheochromocytomas), kidneys, brain, eyes, pancreas and the epididimys gland found next to the testicles. […] Beckwith-Wiedemann Syndrome. A rare, overgrowth disorder involving increased risk for adrenal tumors, including in childhood. Babies with this syndrome are large at birth and may develop low blood sugar. Other common symptoms are a large tongue, large internal organs and defects of the abdominal wall near the navel.
  • #19 Pheochromocytoma – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/pheochromocytoma/symptoms-causes/syc-20355367
    A pheochromocytoma is a rare tumor that grows in an adrenal gland. Most often, the tumor is not cancer and has not spread to other parts of the body. This is called benign or nonmetastatic pheochromocytoma. Rarely, the tumor is cancer and has spread to other parts of the body. This is called malignant or metastatic pheochromocytoma. […] Researchers don’t know exactly what causes a pheochromocytoma. The tumor forms in cells called chromaffin cells. These cells are located in the center of an adrenal gland. They release certain hormones, mainly adrenaline and noradrenaline. […] Most pheochromocytomas are found in people between the ages of 20 and 50. But the tumor can form at any age. […] People who have certain rare genetic conditions have a higher risk of pheochromocytomas. The tumors usually are not cancer and haven’t spread in the body. This type of tumor is called benign or nonmetastatic pheochromocytoma. Rarely, the tumors are cancer and are spreading in the body. This type of tumor is called malignant or metastatic pheochromocytoma. Often, benign tumors related to these rare genetic conditions form in both adrenal glands. Genetic conditions linked with pheochromocytoma include: Multiple endocrine neoplasia, type 2 (MEN 2).
  • #20 Adrenal Cancer Causes, Risk Factors and Is It Hereditary
    https://www.cancercenter.com/cancer-types/adrenal-cancer/risk-factors
    Li-Fraumeni syndrome may cause a specific type of adrenal cancer called an adrenal cortex tumor, which develops in the outer layer of the adrenal gland and makes hormones that cause weight gain, fluid retention, early-onset puberty or puberty-like symptoms. […] A rare genetic disorder, von Hippel-Lindau syndrome increases the risk of developing adrenal gland tumors and tumors in the liver, lungs, brain, spinal cord, eyes and inner ears. These tumors are usually noncancerous (benign), but some may be cancerous. […] Adrenal tumors caused by von Hippel-Lindau syndrome release a hormone called catecholamine, which may lead to high blood pressure, anxiety, panic attacks and excessive sweating. […] Patients with MEN2 may develop pheochromocytoma, tumors of the adrenal glands that are typically benign.
  • #21 What Is Adrenal Gland Adenoma?
    https://www.webmd.com/cancer/adrenal-gland-adenoma
    When you have conditions like these, you have a defect in one or more genes that can have different effects on your body. […] Doctors dont know what causes adrenal gland adenomas, but youre more likely to get one if you have certain genetic conditions, such as: […] Familial adenomatous polyposis (FAP). This is a rare condition characterized by the presence of hundreds or even thousands of noncancerous polyps (growths) in the large intestine and upper respiratory tract. […] Multiple endocrine neoplasia (MEN1). In this rare genetic disorder, noncancerous tumors form in the endocrine system. That’s a network of glands that produce and release hormones that help control many important functions in your body.
  • #22 Adrenal Cancer Risk Factors | Genetics & Adrenal Cancer | American Cancer Society
    https://www.cancer.org/cancer/types/adrenal-cancer/causes-risks-prevention/risk-factors.html
    Most adrenal cortex cancers are not inherited (they are sporadic), but some (up to 15%) are caused by a genetic defect. This is more common in adrenal cancers in children. […] People with MEN1 have a very high risk of developing tumors of 3 glands: the pituitary, parathyroid, and pancreas. About one-third to one-half of people with this condition also develop adrenal tumors. In most cases, these adrenal tumors are adenomas (benign) and non-functional (do not make hormones). […] People with Beckwith-Wiedemann syndrome have large tongues, are tall, and have an increased risk for developing cancers of the kidney, liver and adrenal cortex. […] But, most adrenal tumors in people with FAP are benign adenomas. […] Smoking, in particular, has been suggested as a risk factor for adrenal cancer.
  • #23 Adrenal Cancer Causes, Risk Factors and Is It Hereditary
    https://www.cancercenter.com/cancer-types/adrenal-cancer/risk-factors
    About 600 people in the United States are diagnosed with adrenal cancer each year, making it a very rare disease. Adrenal tumors are not uncommon, most of which are benign (non-cancerous). […] Although genetic syndromes and hereditary traits have been linked to adrenal cancer, most cases occur sporadically, and the causes of adrenal cancer remain largely unknown. […] Risk factors for adrenal cancer are varied. Like many cancer types, the risk for developing adrenal cancer may increase as a result of certain lifestyles and environmental factors, including smoking and exposure to carcinogens. Genetic syndromes have been linked to adrenal cancer. […] A mutation in the gene TP53 causes the inherited genetic condition called Li-Fraumeni syndrome. A broken TP53 gene breaks a pathway that typically slows or stops tumor growth in the body, leading to an increased risk of certain cancers. These include adrenal cancer, bone cancer, soft-tissue cancers (sarcomas), leukemias, breast cancer and brain cancer.
  • #24 Signs & Symptoms of Adrenal Gland Tumors | scan.com
    https://scan.com/blog/adrenal-gland-tumors
    Most adrenal tumors do not have clear causes. However, certain genetic risk factors may predispose you to a higher risk of developing adrenal tumors: […] Carney complex is a rare genetic disorder that results in spotty skin pigmentation and benign tumors that typically affect the skin, endocrine (hormone) system, and heart. […] Neurofibromatosis type 1 is a condition that causes tumors to grow along the skin and brain. It also affects pigmentation. […] Li-Fraumeni syndrome is a rare mutation on gene TP53, which is responsible for tumor suppression. People with this syndrome are incredibly vulnerable to developing certain cancers, including adrenocortical carcinoma. […] Multiple endocrine neoplasia type 2 (MEN2) is a rare genetic disorder that increases susceptibility to tumors in the adrenal glands, thyroid gland, or parathyroid glands. […] Von Hippel-Lindau Disease (VHL) is a mutation on the gene that controls cell growth. When cell growth is poorly controlled, tumors and cysts are more likely to form.
  • #25 Adrenal Cancer Causes, Risk Factors and Is It Hereditary
    https://www.cancercenter.com/cancer-types/adrenal-cancer/risk-factors
    Li-Fraumeni syndrome may cause a specific type of adrenal cancer called an adrenal cortex tumor, which develops in the outer layer of the adrenal gland and makes hormones that cause weight gain, fluid retention, early-onset puberty or puberty-like symptoms. […] A rare genetic disorder, von Hippel-Lindau syndrome increases the risk of developing adrenal gland tumors and tumors in the liver, lungs, brain, spinal cord, eyes and inner ears. These tumors are usually noncancerous (benign), but some may be cancerous. […] Adrenal tumors caused by von Hippel-Lindau syndrome release a hormone called catecholamine, which may lead to high blood pressure, anxiety, panic attacks and excessive sweating. […] Patients with MEN2 may develop pheochromocytoma, tumors of the adrenal glands that are typically benign.
  • #26 Types of Adrenal Tumors | NYU Langone Health
    https://nyulangone.org/conditions/adrenal-tumors/types
    Adrenal tumors originate in the adrenal glands, which are small organs located on top of the kidneys in the lower back. […] The causes of adrenal tumors are not fully understood, although we know that some rare genetic conditions increase the risk. These include multiple endocrine neoplasia type 2, von HippelLindau syndrome, familial paraganglioma syndrome, neurofibromatosis type 1, Carney complex, and LiFraumeni syndrome. […] Most adrenal gland tumors are benign, or noncancerous, but need to be treated if symptoms appear. There are several types of adrenal tumors that may require treatment. […] Adrenal incidentaloma is the term given to adrenal tumors that are found incidentally on imaging tests ordered for other medical conditions. More than 90 percent of incidentally discovered adrenal tumors are benign, but they must all be investigated further. They may be any one of the types of adrenal tumors.
  • #27 What Causes Adrenal Gland Tumors? | Roswell Park Comprehensive Cancer Center – Buffalo, NY
    https://www.roswellpark.org/cancer/adrenal/about/risk-factors
    Carney complex. This rare disorder causes dark spots on the skin and tumors in the heart, skin, nerves and endocrine glands, including the adrenals. […] Li-Fraumeni Syndrome. This rare condition is caused by an alteration in the p53 tumor suppressor gene and is associated with a predisposition to multiple cancer types.
  • #28 Adrenal Tumours Causes & Treatment | Birmingham HPB Clinic
    https://birminghamhpbclinic.co.uk/adrenal-cancer/
    In the majority of cases, the cause of adrenal tumours is not known. […] Some risk factors are understood, including hereditary conditions which have been linked to increasing the risk of getting an adrenal tumour. […] These hereditary conditions include; Carney complex; multiple endocrine neoplasia type 2; Li-Fraumeni syndrome; and Neurofibromatosis type 1. […] There are also lifestyle and environmental conditions that may increase the risk of adrenal cancer, and many other types of cancer. […] These include smoking and being overweight, as well as being exposed to substances that cause cancer.
  • #29 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #30 Signs & Symptoms of Adrenal Gland Tumors | scan.com
    https://scan.com/blog/adrenal-gland-tumors
    Most adrenal tumors do not have clear causes. However, certain genetic risk factors may predispose you to a higher risk of developing adrenal tumors: […] Carney complex is a rare genetic disorder that results in spotty skin pigmentation and benign tumors that typically affect the skin, endocrine (hormone) system, and heart. […] Neurofibromatosis type 1 is a condition that causes tumors to grow along the skin and brain. It also affects pigmentation. […] Li-Fraumeni syndrome is a rare mutation on gene TP53, which is responsible for tumor suppression. People with this syndrome are incredibly vulnerable to developing certain cancers, including adrenocortical carcinoma. […] Multiple endocrine neoplasia type 2 (MEN2) is a rare genetic disorder that increases susceptibility to tumors in the adrenal glands, thyroid gland, or parathyroid glands. […] Von Hippel-Lindau Disease (VHL) is a mutation on the gene that controls cell growth. When cell growth is poorly controlled, tumors and cysts are more likely to form.
  • #31 Adrenal Cancer Causes, Risk Factors and Is It Hereditary
    https://www.cancercenter.com/cancer-types/adrenal-cancer/risk-factors
    Beckwith-Wiedemann syndrome is a disorder diagnosed at birth. […] They also have a higher risk of developing certain cancers, including adrenocortical carcinoma, or adrenal cortex cancer. […] People with Lynch syndrome have a much higher risk of developing colon and rectal cancer. They may also develop cancer in the uterine lining, ovaries, stomach, small intestine, pancreas, kidney, brain, ureters (tubes that carry urine from the kidneys to the bladder), bile duct and adrenal gland.
  • #32 Adrenal Cancer Risk Factors | Genetics & Adrenal Cancer | American Cancer Society
    https://www.cancer.org/cancer/types/adrenal-cancer/causes-risks-prevention/risk-factors.html
    Most adrenal cortex cancers are not inherited (they are sporadic), but some (up to 15%) are caused by a genetic defect. This is more common in adrenal cancers in children. […] People with MEN1 have a very high risk of developing tumors of 3 glands: the pituitary, parathyroid, and pancreas. About one-third to one-half of people with this condition also develop adrenal tumors. In most cases, these adrenal tumors are adenomas (benign) and non-functional (do not make hormones). […] People with Beckwith-Wiedemann syndrome have large tongues, are tall, and have an increased risk for developing cancers of the kidney, liver and adrenal cortex. […] But, most adrenal tumors in people with FAP are benign adenomas. […] Smoking, in particular, has been suggested as a risk factor for adrenal cancer.
  • #33 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    Some people may inherit conditions that increase their risk of adrenal adenoma, including: McCune Albright syndrome (GNAS1 genetic mutation), Multiple endocrine neoplasm type 1 (MENIN genetic mutation), Hereditary bilateral adrenal adenoma (ARMC5 genetic mutation), CTNNB1 genetic mutation, PRKACA genetic mutation, KCNJ5 genetic mutation, ATP1A1 genetic mutation, ATP2B3 genetic mutation, CACNA1D genetic mutation, CTNNB1 genetic mutation. […] People are more likely to develop adrenal adenomas if they: Smoke tobacco products, Use smokeless tobacco.
  • #34 Adrenal Adenoma – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK539906/
    Genetic understanding of adrenal adenomas, similar to many other areas of medicine, is evolving rapidly. Certain genetic mutations have been linked to both hormonally active and hormonally inactive adrenal adenomas. However, the precise mechanisms underlying their pathogenesis remain unclear. […] Mutations in the CTNNB1 genes, which provide instructions for making beta-catenin (Wnt/beta-catenin pathway), have been associated with the development of larger, nonsecreting adrenocortical adenomas. […] The mutations associated with macronodular cortisol-producing adrenal nodules include PRKACA(associated with cortisol-producing adenoma), GNAS1(linked to McCune-Albright syndrome), MENIN(related to multiple endocrine neoplasm type 1), ARMC5(associated with primary bilateral macronodular adrenal hyperplasia), APC(associated with primary bilateral macronodular adrenal hyperplasia), and FH(related to primary bilateral macronodular adrenal hyperplasia). […] The mutations associated with aldosterone-producing adrenal adenomas include KCNJ5, which accounts for approximately 40% of such cases. In addition, mutations in ATP1A1, ATP2B3, CACNA1D, and CTNNB1 have also been associated with this condition.
  • #35 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #36 What is Benign Adrenal Gland Tumor? Symptoms, Causes, Treatments
    https://anavara.com/treatment/benign-adrenal-tumor
    Benign adrenal tumors are non-cancerous tumors or masses that form in the adrenal glands. These tumors can either be non-functional or functional. […] The factors that lead to the development of benign tumors in the adrenal glands are mainly genetic/hereditary conditions. They include: Multiple Endocrine Neoplasia Type 1 2 (MEN1 and MEN2); benign tumors in the endocrine system, Familial Adenomatous Polyposis (FAP); benign polyps in the respiratory tract and large intestine, Paraganglioma syndrome; benign tumors in the paraganglia (a group of cells in the abdomen), Neurofibromatosis Type 1 or Von Recklinghausens disease, Von-Hippel-Lindau disease, Beckwith-Wiedemann syndrome, Li-Fraumeni syndrome, Carney complex. […] Benign tumors in the adrenal glands start when the cells in the glands begin to grow abnormally or form masses. But what makes the cells mutate and begin to form tumors is unknown. However, certain factors contribute to people developing these tumors, such as hereditary, obesity, tobacco usage, and abnormal genetic conditions may increase the risk of causing benign adrenal tumors.
  • #37 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    Some people may inherit conditions that increase their risk of adrenal adenoma, including: McCune Albright syndrome (GNAS1 genetic mutation), Multiple endocrine neoplasm type 1 (MENIN genetic mutation), Hereditary bilateral adrenal adenoma (ARMC5 genetic mutation), CTNNB1 genetic mutation, PRKACA genetic mutation, KCNJ5 genetic mutation, ATP1A1 genetic mutation, ATP2B3 genetic mutation, CACNA1D genetic mutation, CTNNB1 genetic mutation. […] People are more likely to develop adrenal adenomas if they: Smoke tobacco products, Use smokeless tobacco.
  • #38 Adenoma of the Adrenal Gland: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17769-adrenal-adenoma
    Adrenal adenomas are benign (noncancerous) tumors in your adrenal glands. […] Researchers dont know what causes an adrenal adenoma or other benign adrenal gland tumors to form. Still, certain genetic conditions may increase your risk, including: Multiple endocrine neoplasia, type 1 (MEN1), Familial adenomatous polyposis (FAP), Carney complex, Li-Fraumeni syndrome, Multiple endocrine neoplasia type 2 (MEN2), Neurofibromatosis Type 1. […] Obesity and tobacco use may also increase your chances of having an adrenal adenoma.
  • #39 Adrenal Gland Tumor: Symptoms, Causes, Treatment
    https://www.healthline.com/health/adrenal-gland-tumor
    An adrenal gland tumor is an abnormal growth in the adrenal glands. The exact cause of adrenal gland tumors remains unclear. Its believed that a combination of genetic mutations, hormonal influences, and environmental factors likely contributes to their development. […] Factors such as obesity and tobacco use might increase the likelihood of developing adrenal adenoma. […] Certain genetic conditions are also associated with an increased risk of adrenal tumors, including familial adenomatous polyposis (FAP), multiple endocrine neoplasia, type 1 (MEN1), Li-Fraumeni syndrome, Carney complex, neurofibromatosis type 1, and multiple endocrine neoplasia type 2 (MEN2).
  • #40 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    Some people may inherit conditions that increase their risk of adrenal adenoma, including: McCune Albright syndrome (GNAS1 genetic mutation), Multiple endocrine neoplasm type 1 (MENIN genetic mutation), Hereditary bilateral adrenal adenoma (ARMC5 genetic mutation), CTNNB1 genetic mutation, PRKACA genetic mutation, KCNJ5 genetic mutation, ATP1A1 genetic mutation, ATP2B3 genetic mutation, CACNA1D genetic mutation, CTNNB1 genetic mutation. […] People are more likely to develop adrenal adenomas if they: Smoke tobacco products, Use smokeless tobacco.
  • #41 Adrenal Cancer Risk Factors | Genetics & Adrenal Cancer | American Cancer Society
    https://www.cancer.org/cancer/types/adrenal-cancer/causes-risks-prevention/risk-factors.html
    Most adrenal cortex cancers are not inherited (they are sporadic), but some (up to 15%) are caused by a genetic defect. This is more common in adrenal cancers in children. […] People with MEN1 have a very high risk of developing tumors of 3 glands: the pituitary, parathyroid, and pancreas. About one-third to one-half of people with this condition also develop adrenal tumors. In most cases, these adrenal tumors are adenomas (benign) and non-functional (do not make hormones). […] People with Beckwith-Wiedemann syndrome have large tongues, are tall, and have an increased risk for developing cancers of the kidney, liver and adrenal cortex. […] But, most adrenal tumors in people with FAP are benign adenomas. […] Smoking, in particular, has been suggested as a risk factor for adrenal cancer.
  • #42 Adenoma of the Adrenal Gland: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17769-adrenal-adenoma
    Adrenal adenomas are benign (noncancerous) tumors in your adrenal glands. […] Researchers dont know what causes an adrenal adenoma or other benign adrenal gland tumors to form. Still, certain genetic conditions may increase your risk, including: Multiple endocrine neoplasia, type 1 (MEN1), Familial adenomatous polyposis (FAP), Carney complex, Li-Fraumeni syndrome, Multiple endocrine neoplasia type 2 (MEN2), Neurofibromatosis Type 1. […] Obesity and tobacco use may also increase your chances of having an adrenal adenoma.
  • #43 Adrenal Adenoma: Symptoms, Risk Factors, Treatment
    https://www.healthline.com/health/adrenal-adenoma
    An adrenal adenoma is a benign tumor that can form in your adrenal glands. […] The exact cause of adrenal adenomas remains unknown. However, certain risk factors have been associated with their development. […] The American Cancer Society lists several genetic syndromes that are thought to contribute to the development of adrenal cancer: multiple endocrine neoplasia (MEN1), Beckwith-Wiedemann syndrome, familial adenomatous polyposis (FAP), Lynch syndrome or hereditary nonpolyposis colorectal cancer (HNPCC). […] Additional, broad factors mentioned also include being overweight, smoking, having a sedentary lifestyle. […] Note that these risk factors are not specific to adrenal adenomas and are generally thought to increase your likelihood of all types of cancer, according to the Centers for Disease Control and Prevention (CDC).
  • #44 Adrenal Tumor – Barrow Neurological Institutephone iconphone iconGroup 9Group 49
    https://www.barrowneuro.org/condition/adrenal-tumor/
    Inherited genetic syndromes: Adrenal tumors can run in families, especially in the case of inherited genetic conditions like neurofibromatosis type 1, Li-Fraumeni syndrome, von Hippel-Lindau syndrome, Beckwith-Wiedemann syndrome, or multiple endocrine neoplasia (MEN) type 1 and type 2. […] Hormonal factors: Long-term exposure to excessive hormones like adrenocorticotropic hormone can contribute to adrenal tumor growth. […] Environmental and lifestyle factors: Possible environmental triggers of adrenal tumors are thought to include prolonged exposure to toxins or carcinogens or radiation exposure, as well as lifestyle and metabolic disorders linked to hormone imbalances, like obesity and type 2 diabetes. […] Adrenal tumors can also form without an apparent cause and are often found incidentally during imaging tests done for a variety of unrelated conditions. These are known as adrenal incidentalomas, and while most are harmless, some can cause hormone imbalances, leading to conditions like Cushing’s disease, Conn’s syndrome, or pheochromocytoma.
  • #45 Adrenal Tumours Causes & Treatment | Birmingham HPB Clinic
    https://birminghamhpbclinic.co.uk/adrenal-cancer/
    In the majority of cases, the cause of adrenal tumours is not known. […] Some risk factors are understood, including hereditary conditions which have been linked to increasing the risk of getting an adrenal tumour. […] These hereditary conditions include; Carney complex; multiple endocrine neoplasia type 2; Li-Fraumeni syndrome; and Neurofibromatosis type 1. […] There are also lifestyle and environmental conditions that may increase the risk of adrenal cancer, and many other types of cancer. […] These include smoking and being overweight, as well as being exposed to substances that cause cancer.
  • #46 Adrenal Tumor – Barrow Neurological Institutephone iconphone iconGroup 9Group 49
    https://www.barrowneuro.org/condition/adrenal-tumor/
    Inherited genetic syndromes: Adrenal tumors can run in families, especially in the case of inherited genetic conditions like neurofibromatosis type 1, Li-Fraumeni syndrome, von Hippel-Lindau syndrome, Beckwith-Wiedemann syndrome, or multiple endocrine neoplasia (MEN) type 1 and type 2. […] Hormonal factors: Long-term exposure to excessive hormones like adrenocorticotropic hormone can contribute to adrenal tumor growth. […] Environmental and lifestyle factors: Possible environmental triggers of adrenal tumors are thought to include prolonged exposure to toxins or carcinogens or radiation exposure, as well as lifestyle and metabolic disorders linked to hormone imbalances, like obesity and type 2 diabetes. […] Adrenal tumors can also form without an apparent cause and are often found incidentally during imaging tests done for a variety of unrelated conditions. These are known as adrenal incidentalomas, and while most are harmless, some can cause hormone imbalances, leading to conditions like Cushing’s disease, Conn’s syndrome, or pheochromocytoma.
  • #47 Adrenal Tumor – Barrow Neurological Institutephone iconphone iconGroup 9Group 49
    https://www.barrowneuro.org/condition/adrenal-tumor/
    Inherited genetic syndromes: Adrenal tumors can run in families, especially in the case of inherited genetic conditions like neurofibromatosis type 1, Li-Fraumeni syndrome, von Hippel-Lindau syndrome, Beckwith-Wiedemann syndrome, or multiple endocrine neoplasia (MEN) type 1 and type 2. […] Hormonal factors: Long-term exposure to excessive hormones like adrenocorticotropic hormone can contribute to adrenal tumor growth. […] Environmental and lifestyle factors: Possible environmental triggers of adrenal tumors are thought to include prolonged exposure to toxins or carcinogens or radiation exposure, as well as lifestyle and metabolic disorders linked to hormone imbalances, like obesity and type 2 diabetes. […] Adrenal tumors can also form without an apparent cause and are often found incidentally during imaging tests done for a variety of unrelated conditions. These are known as adrenal incidentalomas, and while most are harmless, some can cause hormone imbalances, leading to conditions like Cushing’s disease, Conn’s syndrome, or pheochromocytoma.
  • #48 Benign adrenal tumors – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/benign-adrenal-tumors/symptoms-causes/syc-20356190
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. The adrenal glands are part of the endocrine system. These glands make hormones that send messages to nearly every organ and tissue in the body. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #49 Mayo Clinic Health Library – Benign adrenal tumors | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20301710
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #50 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    An adrenal adenoma is a benign (non-cancerous) tumor that forms within an adrenal glandthe hormone-producing gland located on top of each kidney. Whether or not an adrenal adenoma causes symptoms depends on if it is classified as functional (hormone-producing) or non-functional (non-hormone producing). […] Non-functional adrenal adenomas may progress to functional ones over time, however, they do not progress to cancer. […] People typically have one adrenal adenoma, affecting only one of the two adrenal glands. The condition is more common among women than men, and in older adults. By age 70, about 10% of all people may have adrenal adenomas. However, because most adrenal adenomas dont cause symptoms, many people dont realize they have one. […] Treatment isnt necessary for non-functional adrenal adenomas. But when adrenal adenomas are functional, treatments are available to manage, and even cure, the condition.
  • #51 How Serious Is a Tumor on the Adrenal Gland? | UPMC HealthBeat
    https://share.upmc.com/2023/12/adrenal-gland-tumor/
    Adrenal tumor development in the adrenal glands is relatively common. An adrenal tumor is a typically benign (noncancerous) growth that develops inside the adrenal gland. In rare cases, adrenal tumors can become malignant (cancerous). Either case can affect hormone production. Benign adrenal tumors occur in about 1 in every 10 people. Benign adrenal tumors can still cause problems. In some cases, they can cause symptoms including increased sweating, weight gain or loss, and changes in blood pressure. Benign adrenal tumors (also known as adenomas) don’t spread outside the gland. These tumors are typically less than 2 inches (about 5 centimeters) across. Most often, they only occur in one adrenal gland. […] The vast majority of adrenal tumors are benign and asymptomatic and require no treatment. Benign adrenal tumors are either functioning (active) or nonfunctioning (inactive) adrenal adenomas. Most adrenal tumors don’t cause symptoms, and their symptoms often result from another condition. As a result, most people who have adrenal tumors may never even know it.
  • #52 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    An adrenal adenoma is a benign (non-cancerous) tumor that forms within an adrenal glandthe hormone-producing gland located on top of each kidney. Whether or not an adrenal adenoma causes symptoms depends on if it is classified as functional (hormone-producing) or non-functional (non-hormone producing). […] Non-functional adrenal adenomas may progress to functional ones over time, however, they do not progress to cancer. […] People typically have one adrenal adenoma, affecting only one of the two adrenal glands. The condition is more common among women than men, and in older adults. By age 70, about 10% of all people may have adrenal adenomas. However, because most adrenal adenomas dont cause symptoms, many people dont realize they have one. […] Treatment isnt necessary for non-functional adrenal adenomas. But when adrenal adenomas are functional, treatments are available to manage, and even cure, the condition.
  • #53 Benign adrenal tumors – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/benign-adrenal-tumors/symptoms-causes/syc-20356190
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. The adrenal glands are part of the endocrine system. These glands make hormones that send messages to nearly every organ and tissue in the body. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #54 Mayo Clinic Health Library – Benign adrenal tumors | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20301710
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #55 Benign adrenal tumors – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/benign-adrenal-tumors/symptoms-causes/syc-20356190
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. The adrenal glands are part of the endocrine system. These glands make hormones that send messages to nearly every organ and tissue in the body. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #56 Mayo Clinic Health Library – Benign adrenal tumors | Swiss Medical Network
    https://www.swissmedical.net/en/healtcare-library/con-20301710
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. […] The cause of benign adrenal tumors often is not known. […] The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed.
  • #57 Adrenal Cancer – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK546580/
    Adrenocortical carcinomas can arise sporadically or be part of a familial cancer syndrome. Although the molecular mechanisms underlying tumorigenesis in many of the hereditary syndromes are well characterized, the molecular pathogenesis of sporadic ACC is less well understood. Furthermore, most cases of ACC appear to be sporadic. Several studies on the clonality of adrenocortical tumors have demonstrated that most benign adrenocortical lesions are polyclonal; however, some ACC that have been studied indicate monoclonal proliferation. Adrenocortical hyperplasia seems to be a polyclonal process; however, most adrenocortical tumors, whether benign or malignant, are monoclonal lesions, indicating that genetic changes at specific genomic loci may be playing a role in adrenal tumorigenesis. The chromosomal rearrangements present in benign and malignant adrenocortical tumors are similar; such as the alteration of the beta-catenin pathway. However, these chromosomal rearrangements are more frequent in the malignant tumors compared with the benign lesion. A multistep tumor progression of tumorigenesis has been proposed from genes that are known to be associated with hereditary tumor syndromes described below.
  • #58 Adrenal Cancer – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK546580/
    Adrenocortical carcinomas can arise sporadically or be part of a familial cancer syndrome. Although the molecular mechanisms underlying tumorigenesis in many of the hereditary syndromes are well characterized, the molecular pathogenesis of sporadic ACC is less well understood. Furthermore, most cases of ACC appear to be sporadic. Several studies on the clonality of adrenocortical tumors have demonstrated that most benign adrenocortical lesions are polyclonal; however, some ACC that have been studied indicate monoclonal proliferation. Adrenocortical hyperplasia seems to be a polyclonal process; however, most adrenocortical tumors, whether benign or malignant, are monoclonal lesions, indicating that genetic changes at specific genomic loci may be playing a role in adrenal tumorigenesis. The chromosomal rearrangements present in benign and malignant adrenocortical tumors are similar; such as the alteration of the beta-catenin pathway. However, these chromosomal rearrangements are more frequent in the malignant tumors compared with the benign lesion. A multistep tumor progression of tumorigenesis has been proposed from genes that are known to be associated with hereditary tumor syndromes described below.
  • #59 Benign Lesions of the Adrenal Gland | Patient Care
    https://weillcornell.org/services/urology/kidney-health/conditions-we-treat/benign-lesions-of-the-adrenal-gland
    Most adrenal lesions represent benign nonfunctioning masses called adenomas. […] In some cases, they represent benign lesions that may secrete hormones that can affect blood pressure or steroid/sugar levels. […] In adrenal Cushing’s syndrome, excess cortisol is produced by adrenal gland tumors or hyperplastic adrenal glands. […] Conn’s Syndrome occurs with the overproduction of the hormone aldosterone by the adrenal glands. […] Pheochromocytomas are tumors that cause overproduction of cathecholamine hormones, such as epinephrine and norepinephrine, that are involved in maintaining blood pressure. […] Although most adrenal lesions are benign non-functional adenomas, masses in patients with a known primary extra-adrenal malignancy require evaluation.
  • #60 ADRENAL TUMORS TREATMENTS – Comprehensive Urology
    https://comprehensive-urology.com/general-urology/adrenal-tumors/
    Benign adrenal tumors are small, non-cancerous growths. They form in the adrenal glands and don’t metastasize to other body parts. Typically, they don’t induce symptoms and might be discovered incidentally during an abdominal exam or diagnostic test. In such instances, treatment might not be required. […] However, in the event that the lesions interfere with adrenal gland function, causing the gland to produce too much or too little of the body’s essential hormones, than medical treatment will be strongly recommended. In some cases, even benign lesions can become cancerous, so it is important to discuss your situation with a urologist. […] Benign adrenal lesions are usually categorized based on where they develop within the adrenal gland. Tumors in the outer layers, known as the cortex, are termed adrenal adenomas. Conversely, tumors in the innermost part, called the medulla, are referred to as pheochromocytomas.
  • #61 Types of adrenal gland tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/adrenal-gland/what-is-adrenal-gland-cancer/types-of-tumours
    Adrenal gland tumours can be cancerous or non-cancerous. A cancerous tumour can grow into nearby tissue and destroy it. The tumour can also spread (metastasize) to other parts of the body. Cancerous tumours are also called malignant tumours. […] A non-cancerous (benign) tumour does not spread to other parts of the body and is not usually life-threatening. Most adrenal gland tumours are non-cancerous. […] Adrenal gland tumours are grouped as functional and non-functional. […] Most pheochromocytomas are non-cancerous, but some may be cancerous. […] A small number of pheochromocytomas start in the chromaffin cells outside the adrenal medulla. These are called extra-adrenal pheochromocytomas or paragangliomas. They occur most often in the abdomen. They are more likely to be cancerous than pheochromocytomas that start in the adrenal gland. […] An adrenal adenoma is a non-cancerous tumour that starts in the outer layer of the adrenal gland. Adrenal adenomas are the most common type of tumour in the adrenal gland.
  • #62 ADRENAL TUMORS TREATMENTS – Comprehensive Urology
    https://comprehensive-urology.com/general-urology/adrenal-tumors/
    Benign adrenal tumors are small, non-cancerous growths. They form in the adrenal glands and don’t metastasize to other body parts. Typically, they don’t induce symptoms and might be discovered incidentally during an abdominal exam or diagnostic test. In such instances, treatment might not be required. […] However, in the event that the lesions interfere with adrenal gland function, causing the gland to produce too much or too little of the body’s essential hormones, than medical treatment will be strongly recommended. In some cases, even benign lesions can become cancerous, so it is important to discuss your situation with a urologist. […] Benign adrenal lesions are usually categorized based on where they develop within the adrenal gland. Tumors in the outer layers, known as the cortex, are termed adrenal adenomas. Conversely, tumors in the innermost part, called the medulla, are referred to as pheochromocytomas.
  • #63 Cushing syndrome due to adrenal tumor: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000407.htm
    Cushing syndrome due to adrenal tumor is a form of Cushing syndrome. It occurs when a tumor of the adrenal gland releases excess amounts of the hormone cortisol. […] One such problem is a tumor on one of the adrenal glands. Adrenal tumors release cortisol. […] Adrenal tumors are rare. They can be noncancerous (benign) or cancerous (malignant). […] Noncancerous tumors that can cause Cushing syndrome include: Adrenal adenomas, a common tumor that rarely makes excess cortisol; Macronodular hyperplasia, which causes the adrenal glands to enlarge and make excess cortisol. […] Cancerous tumors that may cause Cushing syndrome include an adrenal carcinoma. This is a rare tumor, but it usually makes excess cortisol.
  • #64 Pheochromocytoma – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/pheochromocytoma/symptoms-causes/syc-20355367
    A pheochromocytoma is a rare tumor that grows in an adrenal gland. Most often, the tumor is not cancer and has not spread to other parts of the body. This is called benign or nonmetastatic pheochromocytoma. Rarely, the tumor is cancer and has spread to other parts of the body. This is called malignant or metastatic pheochromocytoma. […] Researchers don’t know exactly what causes a pheochromocytoma. The tumor forms in cells called chromaffin cells. These cells are located in the center of an adrenal gland. They release certain hormones, mainly adrenaline and noradrenaline. […] Most pheochromocytomas are found in people between the ages of 20 and 50. But the tumor can form at any age. […] People who have certain rare genetic conditions have a higher risk of pheochromocytomas. The tumors usually are not cancer and haven’t spread in the body. This type of tumor is called benign or nonmetastatic pheochromocytoma. Rarely, the tumors are cancer and are spreading in the body. This type of tumor is called malignant or metastatic pheochromocytoma. Often, benign tumors related to these rare genetic conditions form in both adrenal glands. Genetic conditions linked with pheochromocytoma include: Multiple endocrine neoplasia, type 2 (MEN 2).
  • #65 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #66 Adrenal Cancer – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK546580/
    Adrenocortical adenoma (ACA), Adrenal myelolipoma (mesenchymal and stromal tumors) and adrenal adenomatoid tumor are benign neoplasms of the adrenal cortex. […] The key feature of the WHO classification is the role of genetics that may be involved in adrenal cortical carcinoma and pheochromocytoma/ paraganglioma as well as the inclusion of a few rare malignancies of the adrenal cortex and medulla.
  • #67 Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
    https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-5-063.php?jid=iauc
    Adrenal tumors may be a benign finding or imply a high level of morbidity and mortality due to their hormonal activity, or to a possible malignant histology. […] Most adrenocortical tumors are benign, unilateral and non-functioning adenomas, presenting less than 4 cm in diameter, perceived during abdominal imaging studies. […] Functioning adrenal tumors are usually of the benign adenoma type, which causes, for example, Cushing’s syndrome, primary aldosteronism or, not so commonly, virilization. […] In a combined study with a different selection and diagnosis criteria, we had the main etiologies of adrenal tumors: Adenomas 41%, Metastases 19%, Carcinomas 10%, Myelolipomas 9% and Pheochromocytomas 8%. […] Attributed to hormonal production, although most tumors are not functioning, a slightly increased production of certain hormones can be verified in at least 15% of the cases.
  • #68 Adrenal Cancer – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK546580/
    Adrenocortical adenoma (ACA), Adrenal myelolipoma (mesenchymal and stromal tumors) and adrenal adenomatoid tumor are benign neoplasms of the adrenal cortex. […] The key feature of the WHO classification is the role of genetics that may be involved in adrenal cortical carcinoma and pheochromocytoma/ paraganglioma as well as the inclusion of a few rare malignancies of the adrenal cortex and medulla.
  • #69 Clinical presentation and evaluation of adrenocortical tumors – UpToDate
    https://www.uptodate.com/contents/clinical-presentation-and-evaluation-of-adrenocortical-tumors
    Unilateral tumors or masses of the adrenal gland are common. They are categorized as either functional (hormone-secreting) or silent and as either benign or malignant. […] The majority of adrenocortical tumors are benign, nonfunctioning adenomas that are discovered incidentally on abdominal imaging studies (adrenal incidentalomas). […] Others are benign, hormone-secreting adenomas that cause Cushing’s syndrome, primary aldosteronism, or, much less commonly, virilization. […] Adrenocortical carcinomas (ACCs) are rare, often aggressive tumors that may be functional and cause Cushing’s syndrome and/or virilization, or nonfunctional and present as an abdominal mass or an incidental finding.
  • #70 Benign adrenal tumors // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/benign-adrenal-tumors
    Benign adrenal tumors are masses that aren’t cancer. They form in the adrenal glands. The cause of benign adrenal tumors often is not known. The following might raise the risk of developing a benign adrenal tumor: A family history of benign adrenal tumors. Certain syndromes passed through families, called genetic syndromes, that make benign adrenal tumors more likely. A history of having an adrenal tumor surgically removed. […] Most benign adrenal tumors cause no symptoms and don’t need treatment. But sometimes these tumors make high levels of some hormones that can cause problems. […] Symptoms depend on whether the tumor makes hormones, what hormone it makes and how much it makes. But many benign adrenal gland tumors don’t cause symptoms because they don’t make hormones.
  • #71 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    An adrenal adenoma is a benign (non-cancerous) tumor that forms within an adrenal glandthe hormone-producing gland located on top of each kidney. Whether or not an adrenal adenoma causes symptoms depends on if it is classified as functional (hormone-producing) or non-functional (non-hormone producing). […] Non-functional adrenal adenomas may progress to functional ones over time, however, they do not progress to cancer. […] People typically have one adrenal adenoma, affecting only one of the two adrenal glands. The condition is more common among women than men, and in older adults. By age 70, about 10% of all people may have adrenal adenomas. However, because most adrenal adenomas dont cause symptoms, many people dont realize they have one. […] Treatment isnt necessary for non-functional adrenal adenomas. But when adrenal adenomas are functional, treatments are available to manage, and even cure, the condition.
  • #72 Types of Adrenal Tumors | NYU Langone Health
    https://nyulangone.org/conditions/adrenal-tumors/types
    Adrenal tumors originate in the adrenal glands, which are small organs located on top of the kidneys in the lower back. […] The causes of adrenal tumors are not fully understood, although we know that some rare genetic conditions increase the risk. These include multiple endocrine neoplasia type 2, von HippelLindau syndrome, familial paraganglioma syndrome, neurofibromatosis type 1, Carney complex, and LiFraumeni syndrome. […] Most adrenal gland tumors are benign, or noncancerous, but need to be treated if symptoms appear. There are several types of adrenal tumors that may require treatment. […] Adrenal incidentaloma is the term given to adrenal tumors that are found incidentally on imaging tests ordered for other medical conditions. More than 90 percent of incidentally discovered adrenal tumors are benign, but they must all be investigated further. They may be any one of the types of adrenal tumors.
  • #73 Adrenal tumor – Wikipedia
    https://en.wikipedia.org/wiki/Adrenal_tumor
    A minority (about 15%) of adrenocortical adenomas are „functional”, meaning that they produce glucocorticoids, mineralocorticoids, and/or sex steroids, resulting in endocrine disorders such as Cushing’s syndrome, Conn’s syndrome (hyperaldosteronism), virilization of females, or feminization of males. Functional adrenocortical adenomas are surgically curable.
  • #74 Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
    https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-5-063.php?jid=iauc
    Adrenal tumors may be a benign finding or imply a high level of morbidity and mortality due to their hormonal activity, or to a possible malignant histology. […] Most adrenocortical tumors are benign, unilateral and non-functioning adenomas, presenting less than 4 cm in diameter, perceived during abdominal imaging studies. […] Functioning adrenal tumors are usually of the benign adenoma type, which causes, for example, Cushing’s syndrome, primary aldosteronism or, not so commonly, virilization. […] In a combined study with a different selection and diagnosis criteria, we had the main etiologies of adrenal tumors: Adenomas 41%, Metastases 19%, Carcinomas 10%, Myelolipomas 9% and Pheochromocytomas 8%. […] Attributed to hormonal production, although most tumors are not functioning, a slightly increased production of certain hormones can be verified in at least 15% of the cases.
  • #75 Benign Lesions of the Adrenal Gland | Patient Care
    https://weillcornell.org/services/urology/kidney-health/conditions-we-treat/benign-lesions-of-the-adrenal-gland
    Most adrenal lesions represent benign nonfunctioning masses called adenomas. […] In some cases, they represent benign lesions that may secrete hormones that can affect blood pressure or steroid/sugar levels. […] In adrenal Cushing’s syndrome, excess cortisol is produced by adrenal gland tumors or hyperplastic adrenal glands. […] Conn’s Syndrome occurs with the overproduction of the hormone aldosterone by the adrenal glands. […] Pheochromocytomas are tumors that cause overproduction of cathecholamine hormones, such as epinephrine and norepinephrine, that are involved in maintaining blood pressure. […] Although most adrenal lesions are benign non-functional adenomas, masses in patients with a known primary extra-adrenal malignancy require evaluation.
  • #76 Adrenal Tumors – UChicago Medicine
    https://www.uchicagomedicine.org/cancer/types-treatments/adrenal-tumors
    Some types of adrenal tumors cause high blood pressure, diabetes, Cushings syndrome and other conditions. […] Adenomas: Also known as adrenal cortex tumors, these growths are usually benign but can cause an overproduction of cortisol, aldosterone or other hormones. […] Pheochromocytomas: These rare tumors begin in the medulla section of the adrenal glands. A small percentage of these tumors are cancerous. But even benign tumors may cause the over-production of catecholamine hormones (epinephrine and norepinephrine), which can raise blood pressure and cause other problems. […] Certain genetic diseases, including Von Hippel-Lindau disease and multiple endocrine neoplasia, can increase the risk of these tumors.
  • #77 Benign Lesions of the Adrenal Gland | Patient Care
    https://weillcornell.org/services/urology/kidney-health/conditions-we-treat/benign-lesions-of-the-adrenal-gland
    Most adrenal lesions represent benign nonfunctioning masses called adenomas. […] In some cases, they represent benign lesions that may secrete hormones that can affect blood pressure or steroid/sugar levels. […] In adrenal Cushing’s syndrome, excess cortisol is produced by adrenal gland tumors or hyperplastic adrenal glands. […] Conn’s Syndrome occurs with the overproduction of the hormone aldosterone by the adrenal glands. […] Pheochromocytomas are tumors that cause overproduction of cathecholamine hormones, such as epinephrine and norepinephrine, that are involved in maintaining blood pressure. […] Although most adrenal lesions are benign non-functional adenomas, masses in patients with a known primary extra-adrenal malignancy require evaluation.
  • #78 Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
    https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-5-063.php?jid=iauc
    Adenomas or adrenal carcinomas secreting cortisol, pheochromocytomas, aldosteronomas and secretory lesions of androgens are the types of secretory or functionant adrenal masses diagnosed more recurrently. […] Pheochromocytomas are tumors of chromaffin cells of the adrenal medulla that produce, store, metabolized and secrete catecholamines, in some cases, other peptide hormones paragangliomas (PGL) are similar tumors, but of extra origin. […] Aldosteronomas are uncommon and difficult to detect and are clinically characterized by systemic arterial hypertension related to hypokalemia. […] The sex hormone that produces adrenals Adenomas is very rare. Androgen-producing Carcinomas are also uncommon. […] Estrogen-producing tumors are uncommon and, in most cases, malignant.
  • #79 Benign Lesions of the Adrenal Gland | Patient Care
    https://weillcornell.org/services/urology/kidney-health/conditions-we-treat/benign-lesions-of-the-adrenal-gland
    Most adrenal lesions represent benign nonfunctioning masses called adenomas. […] In some cases, they represent benign lesions that may secrete hormones that can affect blood pressure or steroid/sugar levels. […] In adrenal Cushing’s syndrome, excess cortisol is produced by adrenal gland tumors or hyperplastic adrenal glands. […] Conn’s Syndrome occurs with the overproduction of the hormone aldosterone by the adrenal glands. […] Pheochromocytomas are tumors that cause overproduction of cathecholamine hormones, such as epinephrine and norepinephrine, that are involved in maintaining blood pressure. […] Although most adrenal lesions are benign non-functional adenomas, masses in patients with a known primary extra-adrenal malignancy require evaluation.
  • #80 Adrenal Tumors – UChicago Medicine
    https://www.uchicagomedicine.org/cancer/types-treatments/adrenal-tumors
    Some types of adrenal tumors cause high blood pressure, diabetes, Cushings syndrome and other conditions. […] Adenomas: Also known as adrenal cortex tumors, these growths are usually benign but can cause an overproduction of cortisol, aldosterone or other hormones. […] Pheochromocytomas: These rare tumors begin in the medulla section of the adrenal glands. A small percentage of these tumors are cancerous. But even benign tumors may cause the over-production of catecholamine hormones (epinephrine and norepinephrine), which can raise blood pressure and cause other problems. […] Certain genetic diseases, including Von Hippel-Lindau disease and multiple endocrine neoplasia, can increase the risk of these tumors.
  • #81 Adrenal Gland Common Problems and Common Adrenal Tumors
    https://www.adrenal.com/adrenal-gland/common-problems
    Adrenal tumors are common, occuring in 2-3% of adults in their lifetime. The most common adrenal problems are the developement of benign, non-cancerous tumors inside the adrenal gland. […] Most functional adrenal tumors are benign. It is important for you to understand that most functional adrenal tumors are benign (non-cancerous). That means, if your adrenal tumor produces too much cortisol, aldosterone or adrenaline-type hormones (catecholamines) it is almost always benign. […] IMPORTANT: If the adrenal tumor has overproduction of sex-steroid hormones, this almost always occurs in the setting of a cancerous tumor, so is is very important to know which hormones are being produced by the adenal tumor. […] The rule is to never biopsy an adrenal tumor. As with all rules, though, there are some rare exceptions. The only time to consider a biopsy of an adrenal tumor is if the patient has another cancer, typically of the lung, kidney, breast, colorectal or melanoma and one is suspecting an adrenal metastasis. Now you understand why patients with adrenal tumors should be seen by expert surgeons who have extensive experience with adrenal tumors. It can be somewhat tricky to know in advance of surgery whether the adrenal mass is cancerous, or not. Fortunately, the vast majority of adrenal tumors turn out to be benign.
  • #82 Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
    https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-5-063.php?jid=iauc
    Adenomas or adrenal carcinomas secreting cortisol, pheochromocytomas, aldosteronomas and secretory lesions of androgens are the types of secretory or functionant adrenal masses diagnosed more recurrently. […] Pheochromocytomas are tumors of chromaffin cells of the adrenal medulla that produce, store, metabolized and secrete catecholamines, in some cases, other peptide hormones paragangliomas (PGL) are similar tumors, but of extra origin. […] Aldosteronomas are uncommon and difficult to detect and are clinically characterized by systemic arterial hypertension related to hypokalemia. […] The sex hormone that produces adrenals Adenomas is very rare. Androgen-producing Carcinomas are also uncommon. […] Estrogen-producing tumors are uncommon and, in most cases, malignant.
  • #83 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    An adrenal adenoma is a benign (non-cancerous) tumor that forms within an adrenal glandthe hormone-producing gland located on top of each kidney. Whether or not an adrenal adenoma causes symptoms depends on if it is classified as functional (hormone-producing) or non-functional (non-hormone producing). […] Non-functional adrenal adenomas may progress to functional ones over time, however, they do not progress to cancer. […] People typically have one adrenal adenoma, affecting only one of the two adrenal glands. The condition is more common among women than men, and in older adults. By age 70, about 10% of all people may have adrenal adenomas. However, because most adrenal adenomas dont cause symptoms, many people dont realize they have one. […] Treatment isnt necessary for non-functional adrenal adenomas. But when adrenal adenomas are functional, treatments are available to manage, and even cure, the condition.
  • #84 Pheochromocytoma – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/pheochromocytoma/symptoms-causes/syc-20355367
    A pheochromocytoma is a rare tumor that grows in an adrenal gland. Most often, the tumor is not cancer and has not spread to other parts of the body. This is called benign or nonmetastatic pheochromocytoma. Rarely, the tumor is cancer and has spread to other parts of the body. This is called malignant or metastatic pheochromocytoma. […] Researchers don’t know exactly what causes a pheochromocytoma. The tumor forms in cells called chromaffin cells. These cells are located in the center of an adrenal gland. They release certain hormones, mainly adrenaline and noradrenaline. […] Most pheochromocytomas are found in people between the ages of 20 and 50. But the tumor can form at any age. […] People who have certain rare genetic conditions have a higher risk of pheochromocytomas. The tumors usually are not cancer and haven’t spread in the body. This type of tumor is called benign or nonmetastatic pheochromocytoma. Rarely, the tumors are cancer and are spreading in the body. This type of tumor is called malignant or metastatic pheochromocytoma. Often, benign tumors related to these rare genetic conditions form in both adrenal glands. Genetic conditions linked with pheochromocytoma include: Multiple endocrine neoplasia, type 2 (MEN 2).
  • #85 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #86 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #87 Phaeochromocytoma
    https://www.nhs.uk/conditions/phaeochromocytoma/
    Many phaeochromocytomas occur for no obvious reason and do not run in the family. […] However, up to 1 in every 3 occurs as part of an inherited genetic disorder, such as: von Hippel-Lindau (VHL) syndrome, neurofibromatosis type 1 (NF1). […] These genetic disorders cause different tumours or growths to develop around the body.
  • #88 Pheochromocytoma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/23373-pheochromocytoma
    Most pheochromocytomas are benign (not cancerous). Approximately 10% to 15% of pheochromocytomas may be malignant (cancerous). […] In most cases of pheochromocytoma, the exact cause is unknown, and it occurs randomly. […] Approximately 25% to 35% of people who have pheochromocytoma have a hereditary condition (passed through the family) that’s linked to pheochromocytoma, including: Multiple endocrine neoplasia 2 syndrome, types A and B (MEN2A and MEN2B), Von Hippel-Lindau (VHL) disease, Neurofibromatosis type 1 (NF1), Hereditary paraganglioma syndrome, Carney-Stratakis dyad [paraganglioma and gastrointestinal stromal tumor (GIST)], Carney triad (paraganglioma, GIST and pulmonary chondroma). […] Pheochromocytomas may also be caused by mutations (changes) of one of at least 10 different genes.
  • #89 Cushing syndrome due to adrenal tumor: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000407.htm
    Cushing syndrome due to adrenal tumor is a form of Cushing syndrome. It occurs when a tumor of the adrenal gland releases excess amounts of the hormone cortisol. […] One such problem is a tumor on one of the adrenal glands. Adrenal tumors release cortisol. […] Adrenal tumors are rare. They can be noncancerous (benign) or cancerous (malignant). […] Noncancerous tumors that can cause Cushing syndrome include: Adrenal adenomas, a common tumor that rarely makes excess cortisol; Macronodular hyperplasia, which causes the adrenal glands to enlarge and make excess cortisol. […] Cancerous tumors that may cause Cushing syndrome include an adrenal carcinoma. This is a rare tumor, but it usually makes excess cortisol.
  • #90 Cushing Syndrome Due to Adrenal Tumor – UF Health
    https://ufhealth.org/conditions-and-treatments/cushing-syndrome-due-to-adrenal-tumor
    Cushing syndrome due to adrenal tumor is a form of Cushing syndrome. It occurs when a tumor of the adrenal gland releases excess amounts of the hormone cortisol. […] Cushing syndrome is a disorder that occurs when your body has a higher than normal level of the hormone cortisol. This hormone is made in the adrenal glands. Too much cortisol can be due to various problems. One such problem is a tumor on one of the adrenal glands. Adrenal tumors release cortisol. […] Adrenal tumors are rare. They can be noncancerous (benign) or cancerous (malignant). […] Noncancerous tumors that can cause Cushing syndrome include: Adrenal adenomas, a common tumor that rarely makes excess cortisol; Macronodular hyperplasia, which causes the adrenal glands to enlarge and make excess cortisol. […] Cancerous tumors that may cause Cushing syndrome include an adrenal carcinoma. This is a rare tumor, but it usually makes excess cortisol. […] Appropriate treatment of adrenal tumors may reduce the risk of complications in some people with adrenal tumor-related Cushing syndrome.
  • #91 Genetic Alterations in Benign Adrenal Tumors
    https://www.mdpi.com/2227-9059/10/5/1041
    The genetic basis of most types of adrenal adenomas has been elucidated over the past decade, leading to the association of adrenal gland pathologies with specific molecular defects. Various genetic studies have established links between variants affecting the protein kinase A (PKA) signaling pathway and benign cortisol-producing adrenal lesions. Specifically, genetic alterations in GNAS, PRKAR1A, PRKACA, PRKACB, PDE11A, and PDE8B have been identified. […] The genetic background of primary adrenal lesions has been unraveled through advances in the field of genomics over the past decade. The initial clues to our understanding came from a study of rare familial tumor syndromes and the identification of germline and somatic pathogenic variants in CS and primary aldosteronism (PA). These discoveries have facilitated the classification of adrenocortical lesions more accurately based on the causal gene while the genetic screening and counseling can be more individualized to each patient.
  • #92 Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
    https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-5-063.php?jid=iauc
    Adenomas or adrenal carcinomas secreting cortisol, pheochromocytomas, aldosteronomas and secretory lesions of androgens are the types of secretory or functionant adrenal masses diagnosed more recurrently. […] Pheochromocytomas are tumors of chromaffin cells of the adrenal medulla that produce, store, metabolized and secrete catecholamines, in some cases, other peptide hormones paragangliomas (PGL) are similar tumors, but of extra origin. […] Aldosteronomas are uncommon and difficult to detect and are clinically characterized by systemic arterial hypertension related to hypokalemia. […] The sex hormone that produces adrenals Adenomas is very rare. Androgen-producing Carcinomas are also uncommon. […] Estrogen-producing tumors are uncommon and, in most cases, malignant.
  • #93 Genetic Alterations in Benign Adrenal Tumors
    https://www.mdpi.com/2227-9059/10/5/1041
    In CS, aberrant cyclic adenosine monophosphate (cAMP)-protein kinase A (PKA) signaling has been found to be implicated in the majority of the benign cortisol-secreting ATCs. […] The cAMP/protein kinase A (PKA) pathway plays a vital role in adrenocortical cell development, proliferation, and function. […] The majority of them encode ion channels or pumps, and genetic alterations lead to ion transport impairment and cell membrane depolarization which further increase aldosterone synthase transcription and aldosterone overproduction though activation of voltage-gated calcium channels and intracellular calcium signaling. […] This review aims to describe the causative molecular alternations in benign ATCs.
  • #94 A Very Rare Reason for Hyperandrogenism: Adrenal Tumor Case – Bagcilar Medical Bulletin
    https://behmedicalbulletin.org/articles/a-very-rare-reason-for-hyperandrogenism-adrenal-tumor-case/doi/BMB.galenos.2023.2023-01-03
    Adrenal tumors are very rare causes of hyperandrogenism. Androgensecreting adrenal tumors are usually malignant; however, benign tumors have also been described in women. […] Androgen secreting tumors are very rare causes of hyperandrogenism originating from the adrenals. These tumors are generally malignant even though benign adrenal tumors also occur. […] Adrenal tumors are a very rare cause of hyperandrogenism with androgen-secreting tumors usually being malignant. Adrenocortical cancers are rare endocrine malignancies and have a poor prognosis. They can be detected incidentally or during investigations into the effects of the mass or hormonal disorders. 60% of ACCs are hormonally active and 20% of these are androgen-secreting tumors only. […] Among only androgen-secreting tumors, 75% were classified as adrenocortical cancer in histopathological examinations, while the others were adenomas.
  • #95 Benign Feminizing Adrenal Tumor in an Adult Male | Ochsner Journal
    https://www.ochsnerjournal.org/content/20/3/311
    Feminizing adrenal tumors are rare and generally malignant tumors usually seen in male adults and children. […] We report a case of a benign feminizing adrenal tumor in a male patient. […] To our knowledge, only 2 other cases of benign estrogen-only secreting adrenal tumors have been reported. […] Given the ambiguity in distinguishing between malignant and benign feminizing adrenal tumors, we suggest that radiologic (via Hounsfield units), clinical (via trending hormone levels), and histopathologic (via Weiss and Ki-67 scores) findings are sufficient to confirm the benign nature of this commonly malignant tumor. […] The paucity of data describing truly benign feminizing adrenal tumors leads to difficulties in distinguishing between benign and malignant tumors. […] Mongiat-Artus et al postulated that any adrenal tumor secreting estrogens should be considered malignant regardless of presentation and size.
  • #96 Benign Feminizing Adrenal Tumor in an Adult Male | Ochsner Journal
    https://www.ochsnerjournal.org/content/20/3/311
    However, current consensus guidelines consider the components of the Weiss score mitotic rate, atypical mitoses, high nuclear grade, low percentage of clear cells, necrosis, diffuse architecture of tumor, capsular invasion, sinusoidal invasion, and venous invasion as essential in distinguishing between benign and malignant. […] Another important aspect to consider is the proliferative indices, such as Ki-67, as these values are significantly higher in the setting of adrenocortical carcinoma vs adenoma. […] We used the Weiss score and the Ki-67 score to label our case as benign and suggest that if a tumor is radiologically, macroscopically, and histopathologically diagnosed as benign with Hounsfield units, Weiss score, and Ki-67 score, the tumor should be considered benign, regardless of the patient’s hormonal status. […] Given the sentinel event after benign histopathology in the case reported by Anda Melero et al, primary care physician follow-up of these patients is imperative.
  • #97 Types of Adrenal Tumors | NYU Langone Health
    https://nyulangone.org/conditions/adrenal-tumors/types
    Adrenal tumors originate in the adrenal glands, which are small organs located on top of the kidneys in the lower back. […] The causes of adrenal tumors are not fully understood, although we know that some rare genetic conditions increase the risk. These include multiple endocrine neoplasia type 2, von HippelLindau syndrome, familial paraganglioma syndrome, neurofibromatosis type 1, Carney complex, and LiFraumeni syndrome. […] Most adrenal gland tumors are benign, or noncancerous, but need to be treated if symptoms appear. There are several types of adrenal tumors that may require treatment. […] Adrenal incidentaloma is the term given to adrenal tumors that are found incidentally on imaging tests ordered for other medical conditions. More than 90 percent of incidentally discovered adrenal tumors are benign, but they must all be investigated further. They may be any one of the types of adrenal tumors.
  • #98 Adrenal Gland Common Problems and Common Adrenal Tumors
    https://www.adrenal.com/adrenal-gland/common-problems
    Adrenal tumors are common, occuring in 2-3% of adults in their lifetime. The most common adrenal problems are the developement of benign, non-cancerous tumors inside the adrenal gland. […] Most functional adrenal tumors are benign. It is important for you to understand that most functional adrenal tumors are benign (non-cancerous). That means, if your adrenal tumor produces too much cortisol, aldosterone or adrenaline-type hormones (catecholamines) it is almost always benign. […] IMPORTANT: If the adrenal tumor has overproduction of sex-steroid hormones, this almost always occurs in the setting of a cancerous tumor, so is is very important to know which hormones are being produced by the adenal tumor. […] The rule is to never biopsy an adrenal tumor. As with all rules, though, there are some rare exceptions. The only time to consider a biopsy of an adrenal tumor is if the patient has another cancer, typically of the lung, kidney, breast, colorectal or melanoma and one is suspecting an adrenal metastasis. Now you understand why patients with adrenal tumors should be seen by expert surgeons who have extensive experience with adrenal tumors. It can be somewhat tricky to know in advance of surgery whether the adrenal mass is cancerous, or not. Fortunately, the vast majority of adrenal tumors turn out to be benign.
  • #99 Hormonal Evaluation of Adrenal Tumors: What the Common General Practitioner Should Know
    https://clinmedjournals.org/articles/iauc/international-archives-of-urology-and-complications-iauc-5-063.php?jid=iauc
    Adrenal tumors may be a benign finding or imply a high level of morbidity and mortality due to their hormonal activity, or to a possible malignant histology. […] Most adrenocortical tumors are benign, unilateral and non-functioning adenomas, presenting less than 4 cm in diameter, perceived during abdominal imaging studies. […] Functioning adrenal tumors are usually of the benign adenoma type, which causes, for example, Cushing’s syndrome, primary aldosteronism or, not so commonly, virilization. […] In a combined study with a different selection and diagnosis criteria, we had the main etiologies of adrenal tumors: Adenomas 41%, Metastases 19%, Carcinomas 10%, Myelolipomas 9% and Pheochromocytomas 8%. […] Attributed to hormonal production, although most tumors are not functioning, a slightly increased production of certain hormones can be verified in at least 15% of the cases.
  • #100 Adrenal Incidentaloma: Practice Essentials, Anatomy, Pathophysiology
    https://emedicine.medscape.com/article/116587-overview
    Some studies report an association with chromosomal and genetic abnormalities (genes coding for p53 and p57). Tumor markers are also present in other syndromes. The multiple endocrine neoplasia (MEN1) gene is linked to multiple endocrine neoplasia type 1. The aldosynthase/11-beta hydroxylase hybrid gene is associated with glucocorticoid-remediable hyperaldosteronism. […] Another very rare cause of Cushing syndrome is adrenal-dependent macronodular hyperplasia associated with extremely large adrenal glands.
  • #101 What are Adrenal Tumors? Symptoms, Risk Factors & Treatments | MD Anderson Cancer Center
    https://www.mdanderson.org/cancer-types/adrenal-tumors.html
    Adrenal tumors can be malignant (cancer) or benign (not cancerous). Even benign adrenal tumors can be dangerous or cause uncomfortable symptoms. […] Adenomas: A type of non-cancerous tumor. […] Overproduction of cortisol may be caused by: A benign tumor on the adrenal gland called an adenoma. […] Hyperaldosteronism: This condition is caused by a small tumor in the adrenal gland that makes too much aldosterone or an enlargement (hyperplasia) of the adrenal glands.
  • #102 Adrenal tumor: Outlook and more
    https://www.medicalnewstoday.com/articles/how-serious-is-a-tumor-on-the-adrenal-gland
    Adrenal gland tumors may be cancerous or benign. Most adrenal tumors are benign, but can produce excess levels of certain hormones. […] Most adrenal tumors are benign, but some can be cancerous. […] Some benign adrenal tumors may not require treatment if they do not cause symptoms. […] Noncancerous, or benign, adrenal tumors do not spread, and in most people, are not life threatening. Most tumors on the adrenal gland are not cancerous. […] Benign adrenal gland tumors may be functional or nonfunctional. […] Certain genetic disorders may increase the risk of adrenal tumors, including: Li-Fraumeni syndrome, Beckwith-Wiedemann syndrome, multiple endocrine neoplasia (MEN1), familial adenomatous polyposis (FAP), Lynch syndrome. […] Lifestyle and environmental factors, such as smoking, may also increase the risk of adrenal cancer. […] Most adrenal tumors are benign and adrenal cancer is rare. In total, less than 1% of adrenal gland tumors are cancerous.
  • #103 Adrenal Adenoma and Hypertension: Symptoms, Causes & Treatment Options
    https://www.farnorthsurgery.com/blog/the-connection-between-adrenal-adenoma-and-hypertension
    Adrenal adenomas, small benign tumors within the adrenal glands, can disrupt the bodys hormonal balance, leading to high blood pressure that is often difficult to control. […] While many adrenal adenomas are non-functional and asymptomatic, some produce excess hormones, disrupting normal physiological processes and potentially causing hypertension. […] Adrenal adenomas contribute to hypertension through hormonal imbalances. Here are the primary ways this occurs: […] Though less common, adrenal adenomas may cause imbalances in other hormones, potentially exacerbating hypertension. […] Uncontrolled hypertension linked to adrenal adenomas can lead to severe complications: […] These risks highlight the urgency of addressing hypertension caused by adrenal adenomas.
  • #104 Adrenal Adenoma and Hypertension: Symptoms, Causes & Treatment Options
    https://www.farnorthsurgery.com/blog/the-connection-between-adrenal-adenoma-and-hypertension
    Adrenal adenomas, small benign tumors within the adrenal glands, can disrupt the bodys hormonal balance, leading to high blood pressure that is often difficult to control. […] While many adrenal adenomas are non-functional and asymptomatic, some produce excess hormones, disrupting normal physiological processes and potentially causing hypertension. […] Adrenal adenomas contribute to hypertension through hormonal imbalances. Here are the primary ways this occurs: […] Though less common, adrenal adenomas may cause imbalances in other hormones, potentially exacerbating hypertension. […] Uncontrolled hypertension linked to adrenal adenomas can lead to severe complications: […] These risks highlight the urgency of addressing hypertension caused by adrenal adenomas.
  • #105 Adrenal Cancer Causes, Risk Factors and Is It Hereditary
    https://www.cancercenter.com/cancer-types/adrenal-cancer/risk-factors
    Li-Fraumeni syndrome may cause a specific type of adrenal cancer called an adrenal cortex tumor, which develops in the outer layer of the adrenal gland and makes hormones that cause weight gain, fluid retention, early-onset puberty or puberty-like symptoms. […] A rare genetic disorder, von Hippel-Lindau syndrome increases the risk of developing adrenal gland tumors and tumors in the liver, lungs, brain, spinal cord, eyes and inner ears. These tumors are usually noncancerous (benign), but some may be cancerous. […] Adrenal tumors caused by von Hippel-Lindau syndrome release a hormone called catecholamine, which may lead to high blood pressure, anxiety, panic attacks and excessive sweating. […] Patients with MEN2 may develop pheochromocytoma, tumors of the adrenal glands that are typically benign.
  • #106 Adrenal Adenoma and Hypertension: Symptoms, Causes & Treatment Options
    https://www.farnorthsurgery.com/blog/the-connection-between-adrenal-adenoma-and-hypertension
    Adrenal adenomas, small benign tumors within the adrenal glands, can disrupt the bodys hormonal balance, leading to high blood pressure that is often difficult to control. […] While many adrenal adenomas are non-functional and asymptomatic, some produce excess hormones, disrupting normal physiological processes and potentially causing hypertension. […] Adrenal adenomas contribute to hypertension through hormonal imbalances. Here are the primary ways this occurs: […] Though less common, adrenal adenomas may cause imbalances in other hormones, potentially exacerbating hypertension. […] Uncontrolled hypertension linked to adrenal adenomas can lead to severe complications: […] These risks highlight the urgency of addressing hypertension caused by adrenal adenomas.
  • #107 Adrenal Tumor – Barrow Neurological Institutephone iconphone iconGroup 9Group 49
    https://www.barrowneuro.org/condition/adrenal-tumor/
    Your adrenal glands produce essential hormones like cortisol, adrenaline, and aldosterone that help regulate essential bodily functions. Tumors can develop in the adrenal glands and can be benign (noncancerous) or malignant (cancerous). Most adrenal tumors are benign adenomas, meaning they are noncancerous tumors that do not spread. Most of these tumors do not produce any hormones (nonfunctional), while some can produce abnormal amounts (functional). […] The exact cause of most adrenal tumors is not fully understood, but research points toward a combination of age, genetic, inherited, hormonal, and possibly environmental factors. These include: […] Genetic mutations: DNA changes in adrenal cells can cause uncontrolled growth, leading to the development of benign or malignant tumors. Some of these genetic mutations are sporadic, while others are inherited.
  • #108 What is Benign Adrenal Gland Tumor? Symptoms, Causes, Treatments
    https://anavara.com/treatment/benign-adrenal-tumor
    Benign adrenal tumors are non-cancerous tumors or masses that form in the adrenal glands. These tumors can either be non-functional or functional. […] The factors that lead to the development of benign tumors in the adrenal glands are mainly genetic/hereditary conditions. They include: Multiple Endocrine Neoplasia Type 1 2 (MEN1 and MEN2); benign tumors in the endocrine system, Familial Adenomatous Polyposis (FAP); benign polyps in the respiratory tract and large intestine, Paraganglioma syndrome; benign tumors in the paraganglia (a group of cells in the abdomen), Neurofibromatosis Type 1 or Von Recklinghausens disease, Von-Hippel-Lindau disease, Beckwith-Wiedemann syndrome, Li-Fraumeni syndrome, Carney complex. […] Benign tumors in the adrenal glands start when the cells in the glands begin to grow abnormally or form masses. But what makes the cells mutate and begin to form tumors is unknown. However, certain factors contribute to people developing these tumors, such as hereditary, obesity, tobacco usage, and abnormal genetic conditions may increase the risk of causing benign adrenal tumors.
  • #109 Genetic Alterations in Benign Adrenal Tumors
    https://www.mdpi.com/2227-9059/10/5/1041
    The genetic basis of most types of adrenal adenomas has been elucidated over the past decade, leading to the association of adrenal gland pathologies with specific molecular defects. Various genetic studies have established links between variants affecting the protein kinase A (PKA) signaling pathway and benign cortisol-producing adrenal lesions. Specifically, genetic alterations in GNAS, PRKAR1A, PRKACA, PRKACB, PDE11A, and PDE8B have been identified. […] The genetic background of primary adrenal lesions has been unraveled through advances in the field of genomics over the past decade. The initial clues to our understanding came from a study of rare familial tumor syndromes and the identification of germline and somatic pathogenic variants in CS and primary aldosteronism (PA). These discoveries have facilitated the classification of adrenocortical lesions more accurately based on the causal gene while the genetic screening and counseling can be more individualized to each patient.
  • #110 Adrenal Adenoma > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/adrenal-adenoma
    An adrenal adenoma is a benign (non-cancerous) tumor that forms within an adrenal glandthe hormone-producing gland located on top of each kidney. Whether or not an adrenal adenoma causes symptoms depends on if it is classified as functional (hormone-producing) or non-functional (non-hormone producing). […] Non-functional adrenal adenomas may progress to functional ones over time, however, they do not progress to cancer. […] People typically have one adrenal adenoma, affecting only one of the two adrenal glands. The condition is more common among women than men, and in older adults. By age 70, about 10% of all people may have adrenal adenomas. However, because most adrenal adenomas dont cause symptoms, many people dont realize they have one. […] Treatment isnt necessary for non-functional adrenal adenomas. But when adrenal adenomas are functional, treatments are available to manage, and even cure, the condition.
  • #111 Adrenal tumor: Outlook and more
    https://www.medicalnewstoday.com/articles/how-serious-is-a-tumor-on-the-adrenal-gland
    Adrenal gland tumors may be cancerous or benign. Most adrenal tumors are benign, but can produce excess levels of certain hormones. […] Most adrenal tumors are benign, but some can be cancerous. […] Some benign adrenal tumors may not require treatment if they do not cause symptoms. […] Noncancerous, or benign, adrenal tumors do not spread, and in most people, are not life threatening. Most tumors on the adrenal gland are not cancerous. […] Benign adrenal gland tumors may be functional or nonfunctional. […] Certain genetic disorders may increase the risk of adrenal tumors, including: Li-Fraumeni syndrome, Beckwith-Wiedemann syndrome, multiple endocrine neoplasia (MEN1), familial adenomatous polyposis (FAP), Lynch syndrome. […] Lifestyle and environmental factors, such as smoking, may also increase the risk of adrenal cancer. […] Most adrenal tumors are benign and adrenal cancer is rare. In total, less than 1% of adrenal gland tumors are cancerous.