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一名加德纳综合征患者的肾上腺皮质分泌性肿物:病例报告

Adrenocortical Secreting Mass in a Patient with Gardner's Syndrome: A Case Report.

作者信息

Rekik Nabila Mejdoub, Ben Salah Sourour, Kallel Nozha, Kamoun Mahdi, Charfi Nadia, Abid Mohamed

机构信息

Department of Diabetes and Endocrinology, Hedi Chaker Hospital, Magida Boulila Avenue. Sfax 3029, Tunisia.

出版信息

Case Rep Med. 2010;2010:682081. doi: 10.1155/2010/682081. Epub 2010 Dec 27.

Abstract

Gardner's syndrome (GS) is a dysplasia characterized by neoformations of the intestine, soft tissue, and osseous tissue. Endocrine neoplasms have occasionally been reported in association with GS. Adrenal masses in GS are rare, and few have displayed clinical manifestations. In the current paper, The authors report a 37-year-old male patient with GS including familial adenomatous polyposis (FAP) and mandible osteoma who presented with an incidental adrenal mass. Computerized tomography adrenal scan identified bilateral masses. Functional analyses showed a hormonal secretion pattern consistent with pre-Cushing's syndrome. Other extraintestinal manifestations were hypertrophy of the pigmented layer of the retina and histiocytofibroma in the right leg. This paper describes a rare association of adrenocortical secreting mass in an old male patient with Gardner syndrome.

摘要

加德纳综合征(GS)是一种发育异常,其特征为肠道、软组织和骨组织出现新生物。内分泌肿瘤偶尔会与GS相关联报告。GS患者出现肾上腺肿块的情况罕见,且很少有出现临床表现的。在本文中,作者报告了一名37岁男性GS患者,其患有家族性腺瘤性息肉病(FAP)和下颌骨骨瘤,偶然发现肾上腺肿块。肾上腺计算机断层扫描显示双侧有肿块。功能分析显示激素分泌模式与库欣综合征前期一致。其他肠道外表现为视网膜色素层肥厚和右腿组织细胞纤维瘤。本文描述了一名老年男性加德纳综合征患者罕见地出现肾上腺皮质分泌性肿块的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/061c/3014836/03c4ddff5841/CRIM2010-682081.001.jpg

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