Conclusion The larger pleomorphic adenoma predominantly occur at the parotid,submaxillary gland or palate,while the smaller one at lip,bucca,gingiva,frons and nasolabial sulcus.
Here, we report a case of an 81-year-old female who suffered from epigastralgia and was diagnosed as tubulovillous adenoma with malignant change of the stomach after panendoscopy with biopsy.
In all cases no one primarily recurred.Conclusions:Endoscopic treatment by endothermy heater forcels biopsy is an effective and safe therapetic method for flat colonic adenoma.
In both adrenal adenomas and carcinomas, the cells of the zona fasciculata within the adrenal cortex start dividing abnormally and secrete excess cortisol.
Unlike pituitary adenomas, ectopic sites of ACTH productions typically don't respond even to high doses of dexamethasone, and the serum cortisol remains high.
The second most common cause is called Conn syndrome and this is where an adenoma or tumor in the glandular epithelial cells secretes too much hormone.
The leading cause of that is a pituitary adenoma, which is a benign tumor of the pituitary gland- and this specific condition is called Cushing disease.
Apart from pituitary adenomas, there are ectopic sources of ACTH like small cell lung cancer, and in these cases the excess ACTH is coming from somewhere other than the pituitary.
A different cause is a hyper functioning thyroid adenoma where the follicular cells start growing uncontrollably, forming a benign tumor that makes excess thyroid hormones.
Another common cause of endogenous Cushing syndrome is tumors of the adrenal glands that make excess cortisol - like adrenal adenomas, which are benign tumors, and adrenal carcinomas, which are malignant tumors.