Suzuki Takahisa, Furuse Hiroshi, Kurita Yutaka, Ushiyama Tomomi, Mugiya Soichi, Ozono Seiichiro, Oki Yutaka
Department of Urology, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Int J Urol. 2014 Jan;21(1):117-9. doi: 10.1111/iju.12172. Epub 2013 Apr 21.
Laparoscopic adrenalectomy is widely accepted as a safe and minimally-invasive procedure. Although it is a standard procedure for the surgical treatment of adrenal tumors, its simultaneous use with bilateral adrenalectomy is relatively rare. A 21-year-old woman was referred to Hamamatsu University School of Medicine University Hospital complaining of a deepening voice, hirsutism and secondary amenorrhea. Abdominal computed tomography showed bilateral adrenal tumors, and hormonal examinations showed that the tumors secreted excessive testosterone, resulting in virilizing symptoms. Laparoscopic simultaneous bilateral adrenalectomy was carried out. Postoperatively, serum testosterone levels immediately recovered to within the normal range. Menstruation began the month after the operation, and the hirsutism gradually regressed. This is the third reported case of bilateral virilizing adrenal tumors, and the first to be successfully treated with laparoscopic simultaneous bilateral adrenalectomy.
腹腔镜肾上腺切除术被广泛认为是一种安全且微创的手术。尽管它是肾上腺肿瘤外科治疗的标准手术，但同时用于双侧肾上腺切除术相对少见。一名21岁女性因声音变粗、多毛和继发性闭经被转诊至滨松医科大学附属医院。腹部计算机断层扫描显示双侧肾上腺肿瘤，激素检查表明肿瘤分泌过多睾酮，导致男性化症状。实施了腹腔镜同期双侧肾上腺切除术。术后，血清睾酮水平立即恢复到正常范围内。术后次月月经来潮，多毛症状逐渐消退。这是第三例报道的双侧男性化肾上腺肿瘤病例，也是首例通过腹腔镜同期双侧肾上腺切除术成功治疗的病例。
