Summary
Ultrastructural and morphometrical analysis of brown pigment in pigmented (black) and non-pigmented adrenocortical adenomas of Cushing's syndrome and non-functioning pigmented adrenocortical nodules was performed in reference to tissue concentrations and in vitro production of steroids by the adenoma tissue. Pigment in pigmented adenomas was of membrane-bound lysosomal nature, while that of pigmented nodules contained membrane-unbound droplets of lipoid character. The morphometrical study showed little difference among individual adenomas. There was no difference between pigmented and non-pigmented adenomas in the amount of production and tissue concentrations of steroids. The steroid concentrations in a pigmented nodule were lower than those in an adenoma of Cushing's syndrome, but not significantly. Discussion is focused on the difference of pigment of lysosomal nature and of lipoid peroxidation.
Similar content being viewed by others
References
Bahu RM, Battifora H, Schambaugh GIII (1974) Functional black adenoma of the adrenal gland. Arch Pathol Lab Med 98:139–142
Baker MR (1938) A pigmented adenoma of the adrenal. Arch Pathol Lab Med 26:845–852
Garret R, Ames RP (1973) Black-pigmented adenoma of the adrenal gland. Report of three cases including electron microscopic study. Arch Pathol Lab Med 95:349–353
Hornsby J, Crivello JF (1983) The role of lipid peroxidation and biological antioxidants in the function of the adrenal cortex. Part 2. Mol Cell Endocrinol 30:123–147
Kovacs K, Horvath E, Feldman PS (1976) Pigmented adenoma of adrenal cortex associated with Cushing's syndrome. Light and electron microscopic study. Urology 7:641–645
Long JA, Jones AL (1967) Observations of the fine structure of the adrenal cortex of man. Lab Invest 17:355–370
Lucksch F (1912) Über pigmentierte Adenome der Nebennieren. Beitr Path Anat 53:324–338
Lüders CJ (1953) Zur Frage der pigmentierten Nebennierenrindenadenome. Virchows Arch (Pathol Anat) 324:123–135
Macadom RF (1971) Black adenoma of the human adrenal cortex. Cancer 27:116–119
Mackay A (1969) Atlas of human adrenal cortex ultrastructure. In: Symington T (ed) Functional pathology of the human adrenal gland. E&S Livingstone Ltd, Edinburgh-London, pp 428–429
Mizutani S, Igarashi N (1974) Cases of dark cell type of adenoma. In: Kumamoto Y, Sasano N, Tsuchiyama H (ed) Morphology and function of adrenal cortex (in Japanese). Nankodo Ltd, Tokyo-Kyoto, pp 294–299
Neville AM, O'Hare MJ (1982) The human adrenal cortex. Pathology and biology - An integrated approach. Springer, Berlin Heidelberg New York, pp 139–144
O'Leary TJ, Liotta LA, Gill JR (1982) Pigmented adrenal nodules in Cushing's syndrome. Arch Pathol 106:257
Rhodin JAG (1974) Cells and organelles. In: Rhodin JAG (ed) Histology. Oxford University Press, New York London Toronto, pp 34–38
Robinson MJ, Rywlin AM (1972) The adrenal black adenoma: Clinical and pathologic correlations. Lab Invest 26:488
Robinson MJ, Pardo V, Rywlin AM (1972) Pigmented nodules (black adenomas) of the adrenal. An autopsy study of incidence, morphology and function. Hum Pathol 3:317–325
Sasano N, Ojima M, Masuda T (1980) Endocrinologic pathology of functioning adrenocortical tumors. Pathol Annu 15:105–141
Schmidt MB (1925) Pigmenttumoren der Nebennieren und ihre Beziehung zur Amyloiddegeneration. Virchow Arch [Pathol Anat] 254:606–612
Shigematsu K, Kawai K, Tsuchiyama H (1982) Electron microscopic study of multiple pigmented adrenocortical nodules in Cushing's syndrome. J Clin Electron Microsc 15:902–903
Symington T (1969) Functional pathology of the human adrenal gland. E&S Livingstone Ltd, Edinburgh-London p 82
Takagi R, Kano K, Sato S, Miyamura S, Hama H, Yamada Y (1980) A case report of double adrenocortical adenomata due to Cushing's syndrome and primary aldosteronism (in Japanese). Hormone Clinic 28:777–783
Tuczek K (1914) Über die Beziehung der Nebennieren Pigmentation zur Hautfarbe. Mit besonderer Berücksichtigung der pigmentierten Nebennierentumoren. Beitr Path Anat 58:250–272
Uras A, Budak D, Argiloglu O, Görpe A, Tashinoglu M (1978) A functioning black adenoma of the adrenal gland. Clin Oncol 4:181–186
Visser JW, Boeijinga JK, Meer CD (1974) A functioning black adenoma of the adrenal cortex: A clinocopathological entity. J Clin Pathol 27:955–959
Author information
Authors and Affiliations
Additional information
This study was in part supported by a grant from the Ministry of Health and Welfare “Disorders of adrenal hormone” Research Committee, Japan
Rights and permissions
About this article
Cite this article
Suzuki, Ki., Ojima, M. & Sasano, N. Ultrastructure of pigment in adrenocortical pigmented adenomas of Cushing's syndrome and in non-functioning pigmented nodules with respect to tissue steroid analyses. Vichows Archiv A Pathol Anat 405, 161–173 (1985). https://doi.org/10.1007/BF00704369
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00704369