Revisión casuítica de la patología adrenal durante los últimos 23 años

Abstract

Wc present a casuistic revision of adrenal pathology, which was studicd in our service during the period Janaury 1977-July
2000. We revicwed 59.069 hiopsies and 2.674 autopsies and we 84 cases. founded with the following findings:
Primary tumors 25%
Secundary tumors 51%
lnfectious diseases 11%
Miscellane.ous 12%
Unsuitable for diagnosis 1%

Hyperpiasi as, adenomas, pheochromocy-tomas, neuroblastorna, adenocarcinorna are included within primary tumors.
The metaslasic tumors corresponded to: lung, pancreas, mammary gland, kidney and carcinomas; endornetrial adenocarcinoma,
lymphoma, melanoma, hepatocarcinoma, gastric carcinoma, testicular teratocareinorn a, sk in epydermoid carcinoma, uterus
choriocarcinoma and a primary germinal tumor of the thymus.
Within infectious diseases we founded tuberculosis, hystoplasmosis, cryptoeocosis. hydatidosis.
Miscellaneous included hematoma, hemorrhage, pseudocyst, Disseniinated Intravascul ar Coagulation (DIC), athrophy, Wegener's granulomatosis, myelolipo[na, hemorrhagic necrosis. There was only one case which was unsuitable for diagnosis due to insuf'ficient material.