[肺癌垂体转移导致的中枢性尿崩症]

[Central diabetes insipidus caused by pituitary metastasis of lung cancer].

作者信息

Tomoda Yoshitaka, Kai Tomoko, Inata Junya, Miyazaki Kozue, Murai Hirsohi, Yamaoka Naoki, Kuraoka Toshihiko

机构信息

Department of Internal Medicine, Federation of National Public Service and Affiliated Personal Mutual Aid Associations, Yoshijima Hospital.

出版信息

Nihon Kokyuki Gakkai Zasshi. 2005 Dec;43(12):751-4.

PMID:16457338

Abstract

A 71-year-old man was admitted with high fever, thirst, polyposia and polyuria. After examination, lung cancer (adenocarcinoma T1NOM1, Stage IV) and central diabitus insipidus caused by pituitary metastasis of lung cancer, were diagnosed. We gave him desmopressin acetate, gamma knife surgery for pituitary metastasis and chemotherapy with paclitaxel and carboplatin, and his symptoms improved. However, his lung cancer progressed. Diabitus insipidus caused by lung cancer is rare.

摘要

一名71岁男性因高热、口渴、多饮及多尿入院。检查后诊断为肺癌（腺癌T1N0M1，IV期）及肺癌垂体转移所致的中枢性尿崩症。我们给予他醋酸去氨加压素、垂体转移瘤的伽玛刀手术以及紫杉醇和卡铂化疗，其症状有所改善。然而，他的肺癌仍有进展。肺癌所致的尿崩症较为罕见。