I was looking for a case report or example to match something I've come across that I thought highly unlikely to the point of being untrue. That is a adrenocortical adenoma (AA) was functional but solely producing testosterone in a male. The patient (pt) reports no steroid or recreational drugs (tox comes up clean). Endocrine panel only shows highly elevated testosterone. AA was detected in imaging.
I'm less specifically interested in the individual case, but can provide more details if needed (I was only an ID consult ).
My understanding is that functional AA are already rare, and that when they do produce hormones, it tends to be several (a broad array of over production). Has anyone heard of or can find a case report of a functional AA producing a narrow spectrum or single hormone? I understand that pure androgen-secreting tumors are rare to begin with, but even then multiple androgens are often produced.
I found this case but I'm trying to track down more details on it before I use it as a reference.