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一例导致库欣综合征的黑色肾上腺皮质腺瘤,放射性胆固醇闪烁扫描未显影。

A black adrenocortical adenoma causing Cushing's syndrome not imaged by radiocholesterol scintigraphy.

作者信息

Reschini E, Baldini M, Cantalamessa L

机构信息

Service of Nuclear Medicine, Ospedale Maggiore di Milano, Italy.

出版信息

Eur J Nucl Med. 1990;17(3-4):185-7. doi: 10.1007/BF00811448.

DOI:10.1007/BF00811448
PMID:2279500
Abstract

In a 33-year-old female patient with left adrenal tumour and Cushing's syndrome, adrenocortical scintigraphy with radiocholesterol did not image the tumour nor the suppressed contralateral gland. Histology showed a black adrenocortical adenoma composed only of compact cells; there was no evidence of malignancy. This demonstrates that non-visualization of the adrenal glands in a patient with Cushing's syndrome is not invariably due to adrenal carcinoma. The literature on black adrenal adenomas causing Cushing's syndrome is reviewed.

摘要

在一名患有左肾上腺肿瘤和库欣综合征的33岁女性患者中,用放射性胆固醇进行的肾上腺皮质闪烁扫描未显示肿瘤及对侧受抑制的腺体。组织学检查显示为仅由致密细胞组成的黑色肾上腺皮质腺瘤;无恶性证据。这表明库欣综合征患者肾上腺不显影并非总是由于肾上腺癌所致。本文对导致库欣综合征的黑色肾上腺腺瘤的文献进行了综述。

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A black adrenocortical adenoma causing Cushing's syndrome not imaged by radiocholesterol scintigraphy.一例导致库欣综合征的黑色肾上腺皮质腺瘤,放射性胆固醇闪烁扫描未显影。
Eur J Nucl Med. 1990;17(3-4):185-7. doi: 10.1007/BF00811448.
2
Cushing's syndrome due to a black adenoma of the adrenal gland: lack of tumour visualization by radiocholesterol scintigraphy.肾上腺黑色腺瘤所致库欣综合征:放射性胆固醇闪烁扫描未显示肿瘤
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Adrenal incidentalomas showing unilateral concordant visualization by adrenocortical scintigraphy: comparison with adenomas in Cushing's syndrome.肾上腺意外瘤在肾上腺皮质闪烁扫描中表现为单侧一致性显影:与库欣综合征中的腺瘤对比
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Radiocholesterol scintigraphy in Cushing's syndrome.库欣综合征的放射性胆固醇闪烁扫描术
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A Case of Cushing's Syndrome with Multiple Adrenocortical Adenomas Composed of Compact Cells and Clear Cells.一例伴有由致密细胞和透明细胞组成的多发性肾上腺皮质腺瘤的库欣综合征病例。
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Functioning adrenal black adenoma with pulmonary and cutaneous cryptococcosis: a case report and review of English literature.

本文引用的文献

1
Selenium 75 selenomethyl cholesterol: a new agent for quantitative functional scintigraphy of the adrenals: physical aspects.硒75硒代甲基胆固醇:一种用于肾上腺定量功能闪烁显像的新型药物:物理特性
Br J Radiol. 1980 Sep;53(633):883-9. doi: 10.1259/0007-1285-53-633-883.
2
Cushing's syndrome associated with functional black adenoma of the adrenal cortex.库欣综合征伴肾上腺皮质功能性黑色腺瘤。
South Med J. 1980 Oct;73(10):1410-2. doi: 10.1097/00007611-198010000-00038.
3
The relationship of serum lipids to adrenal-gland uptake of 6 beta-[131I]iodomethyl-19-norcholesterol in Cushing's syndrome.
功能性肾上腺黑色腺瘤合并肺和皮肤隐球菌病:一例报告及英文文献复习
J Endocrinol Invest. 2001 Nov;24(10):816-9. doi: 10.1007/BF03343933.
4
Cushing's syndrome due to a black adenoma of the adrenal gland: lack of tumour visualization by radiocholesterol scintigraphy.肾上腺黑色腺瘤所致库欣综合征:放射性胆固醇闪烁扫描未显示肿瘤
Eur J Nucl Med. 1994 Dec;21(12):1367-8. doi: 10.1007/BF02426703.
5
Clinical experience with the adrenal scanning agents iodine 131-19-iodocholesterol and selenium 75-6-selenomethylcholesterol.肾上腺扫描剂碘131 - 19 -碘胆固醇和硒75 - 6 -硒甲基胆固醇的临床经验。
Eur J Nucl Med. 1991;18(10):817-23. doi: 10.1007/BF00175061.
库欣综合征中血清脂质与肾上腺对6β-[¹³¹I]碘甲基-19-去甲胆固醇摄取的关系。
J Nucl Med. 1980 Nov;21(11):1069-72.
4
Failure to visualize adrenal glands in a patient with bilateral adrenal hyperplasia.双侧肾上腺增生患者肾上腺未显影。
J Nucl Med. 1980 Jan;21(1):49-51.
5
Iodocholesterol adrenal tissue uptake and imaging adrenal neoplasms.碘胆固醇在肾上腺组织的摄取及肾上腺肿瘤成像。
J Clin Endocrinol Metab. 1981 Jun;52(6):1156-61. doi: 10.1210/jcem-52-6-1156.
6
[131I]iodocholesterol scintiscan and a rare "functional" black adenoma of the adrenal cortex.[131I]碘胆固醇闪烁扫描与肾上腺皮质罕见的“功能性”黑色腺瘤
J Nucl Med. 1983 Jun;24(6):505-7.
7
Uptake of 75Se-selenocholesterol by an adrenal cortical carcinoma and its metastases.肾上腺皮质癌及其转移灶对75Se-硒胆固醇的摄取。
Eur J Nucl Med. 1984;9(6):291-3. doi: 10.1007/BF00803255.
8
The scintigraphic imaging of endocrine organs.内分泌器官的闪烁成像。
Endocr Rev. 1984 Spring;5(2):221-81. doi: 10.1210/edrv-5-2-221.
9
A functioning black adenoma of the adrenal cortex: a clinico-pathological entity.肾上腺皮质功能性黑色腺瘤:一种临床病理实体。
J Clin Pathol. 1974 Dec;27(12):955-9. doi: 10.1136/jcp.27.12.955.
10
Functional black adenoma of the adrenal gland. Light and electron microscopical study.肾上腺功能性黑色腺瘤。光镜与电镜研究。
Arch Pathol. 1974 Aug;98(2):139-42.