Tanikawa Go, Ueda Tomohiro, Nakamura Yoshihiro, Hosomi Masahiro, Kirohara Hisakazu
Department of Urology, Toyonaka Municipal Hospital.
Hinyokika Kiyo. 2004 Oct;50(10):691-4.
A 55-year-old woman with transient faintness was referred to our hospital. Laboratory studies showed high levels of plasma catecholamines, cortisol, adrenocorticotropic hormone (ACTH) and urinary vanyl mandelic acid (VMA). Abdominal computed tomography (CT) showed a right adrenal tumor measuring 4.5 cm diameter that was enhanced heterogeneously by contrast medium. Brain CT and chest CT did not detect any other tumors. Under the clinical diagnosis of ectopic ACTH secreting adrenal pheochromocytoma, we performed right adrenalectomy. Pathological findings showed pheochromocytoma, and tumor cells were heterogeneously stained by anti-ACTH antibody.
一名55岁有短暂昏厥症状的女性被转诊至我院。实验室检查显示血浆儿茶酚胺、皮质醇、促肾上腺皮质激素（ACTH）及尿香草扁桃酸（VMA）水平升高。腹部计算机断层扫描（CT）显示右侧肾上腺有一个直径4.5厘米的肿瘤，造影剂增强后呈不均匀强化。脑部CT和胸部CT未发现其他肿瘤。在异位ACTH分泌性肾上腺嗜铬细胞瘤的临床诊断下，我们实施了右侧肾上腺切除术。病理检查结果显示为嗜铬细胞瘤，肿瘤细胞被抗ACTH抗体不均匀染色。
