Adrenocortical hyperplasia?

Adrenocortical hyperplasia, to determine whether unilateral, bilateral and pituitary lesions, to decide the treatment.1, check the pituitary MRI. For patients with pituitary tumor, may show bilateral adrenal hyperplasia, at this time can not be treated alone, need treatment for pituitary disease, after removing the pituitary cause, adrenal hyperplasia can be relieved. 2, unilateral adrenal hyperplasia, only seen in simple adrenal hyperplasia or cortical tumor. Corticomas normally secrete glucocorticoids, mineralocorticoids, and sex hormones. Adrenocortical hormone series should be examined to determine which hormone is elevated. If mineralocorticoids are elevated, it is manifested as elevated aldosterone. If there is no obvious tumor in the early stage, oral spironolactone can be used for treatment. If sex hormones are elevated, adrenal thin-layer CT should be performed to check for cortical microadenomas. If sebaceous adenomas are present, surgery should be performed. If the hormone level is normal and no sebaceous adenoma is found in the adrenal gland, it can be reviewed regularly.