Cheikhrouhou Héla, Khiari Karima, Chérif Lotfi, Ben Abdallah Néjib, Ben Maïz Hédi
Service de Néphrologie et de Médecine Interne, Unité d'endocrinologie Hôpital Charles Nicolle, Tunis, Tunisie.
Tunis Med. 2003 Apr;81(4):277-82.
The authors report a case of a 49-year-old woman presenting a Cushing's syndrome (January 1997). The Magnetic Resonance Image of the pituitary gland revealed a microadenoma without extension in the cavernous sinus and a partial empty sella. The computed tomography scan showed a discreet bilateral adrenal hyperplasia with a left nodule (23 mm in diameter) a second nodule was noted. These data suggested the eventuality of maconodular adrenocortical hyperplasia in long-standing Cushing's disease. We discuss the implications of this finding for diagnosis, treatment and follow-up.
作者报告了一例49岁女性患库欣综合征的病例（1997年1月）。垂体磁共振成像显示为微腺瘤，未向海绵窦扩展，并有部分空蝶鞍。计算机断层扫描显示双侧肾上腺轻度增生，左侧有一个结节（直径23毫米），还发现了第二个结节。这些数据提示在长期存在的库欣病中可能存在大结节性肾上腺皮质增生。我们讨论了这一发现对诊断、治疗和随访的意义。
