结论PPNAD是柯兴综合征的一种少见类型，诊断有赖于内分泌检查结果和病理学诊断，手术是治愈本病的有效方法。
Conclusion PPNAD is a rare type of Cushing syndrome. Diagnose depends on endocrine exams and pathological results. Operation is the effective method for the disease.
结果全部病例经手术治愈，病理诊断：肌间或灶性出血20例，机化血块10例，机化血栓9例。
Results All patients were healed by surgical operations, the pathological diagnosis revealed that among 39 patients, 20 with hemorrhage in muscles, 10 with fibrosis gore, 9 with fibrosis thrombus.
局灶型（占46.7%）仅表现为局部淋巴结肿大，病理形态学多表现为透明血管型，手术切除肿大淋巴结后治愈。
The unicentric CD(46.7%) just presented with local lymphadenopathy and was classified as the hyaline vascular type. The patients were cured by surgical resection of lymph node.
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