Otabe S, Muto S, Asano Y, Sato K, Ohtani M, Kawamoto C, Ido K, Kimura K
Department of Gastroenterology, Jichi Medical School, Tochigi, Japan.
Clin Nephrol. 1991 Feb;35(2):66-71.
Metastases to the adrenal glands are common in patients with cancer, but among those affected, hyperreninemic hypoaldosteronism is noted very rarely. A case of hyperreninemic hypoaldosteronism secondary to metastatic hepatocellular carcinoma is reported. Laboratory data revealed selective aldosterone deficiency with hyperreninemia. Biopsy documented replacement of the adrenal glands with metastatic hepatocellular carcinoma. A review of the literature disclosed that the present case was an extremely rare one of its kind.
肾上腺转移在癌症患者中很常见，但在这些患者中，高肾素性醛固酮减少症却极为罕见。本文报告了一例继发于转移性肝细胞癌的高肾素性醛固酮减少症病例。实验室检查数据显示选择性醛固酮缺乏伴高肾素血症。活检证实肾上腺被转移性肝细胞癌替代。文献回顾表明，本病例实属极为罕见。
