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causes of adrenal adenomas?

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Dr. Grim, just wondering if you have any insights or theories into the cause of

adrenal adenomas in the first place? The standard answer via Google seems to be

" unknown, but may be related to genetic mutations not yet identified " (cite

here:

http://books.google.com/books?id=-HRJOElZch8C & pg=PA19 & lpg=PA19 & dq=%22cause+of+ad\

renal+adenomas%22 & source=bl & ots=9dIzrgvkHD & sig=RAztBIsNZHiX7B8W7un1xaV9J88 & hl=en\

& ei=TxSRTpbzFpD9iQKctbTMCA & sa=X & oi=book_result & ct=result & resnum=9 & ved=0CGcQ6AEwC\

A#v=onepage & q=%22cause%20of%20adrenal%20adenomas%22 & f=false and elsewhere).

Figured your 40 years of experience might mean you have an answer other than

" nobody knows " :) Thanks, as always, for the input.

-msmith1928

Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea, hyperinsulinemia,

hereditary fructose intolerance, lactose intolerance, probable gluten

intolerance. Current meds are K 20 MEQ 4x/day, singulair 10mg, norethindrone

..35mg to regulate polymenorrhea, cyclobenzaprine 5-10mg when needed,

fexofenadine 180mg as needed. Low sodium, fructose- and grain-free diet. Known

drug allergies include PCN, sulfa, tetracycline; spiro caused gynecomastia,

polymenorrhea, depression, anxiety, and dizziness. 1cm left adrenal nodule,

supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements);

AVS determined disease is unilateral, left laparoscopic adrenalectomy is

scheduled for 10/13/2011.

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