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一名8岁男孩脊柱区域的异位雄激素化肾上腺皮质肿瘤:病例报告及文献复习

Ectopic virilising adrenocortical tumour in the spinal region in an 8 year-old boy: a case report and review of the literature.

作者信息

Skórka Agata, Moszczyńska Elżbieta, Kot Karolina, Roszkowski Marcin, Jurkiewicz Elżbieta, Grajkowska Wiesława, Pronicki Maciej, Pilecki Olgierd, Szalecki Mieczysław

机构信息

Department of Paediatrics, Medical University of Warsaw, Dzialdowska 1, 01-189, Warsaw, Poland.

Department of Endocrinology and Diabetology, The Children's Memorial Health Institute, Al. Dzieci Polskich 20 04-730, Warsaw, Poland.

出版信息

Ital J Pediatr. 2015 Sep 2;41:62. doi: 10.1186/s13052-015-0169-8.

Abstract

INTRODUCTION

The adrenocortical rest tumours are the very rare entity in the pediatric population. They are usually found along the gonadal descent paths (celiac axis, the broad ligamen, the adnexa of the testes or the spermatic cord). They have been also described to occur at rare ectopic sites like intracranial locations, placenta, kidney, pancreas and liver.

CLINICAL CASE

Here we present a unusual case of an ectopic, virilising, primary adrenocortical tumour localized in the spinal region in a 8 years-old-boy.

DISCUSSION

This is the first case of functional ectopic, adrenocortical tumour localized in the spinal region in a pediatric population. We discuss here the clinical presentation and the diagnostic challenges and provide the review of the literature.

摘要

引言

肾上腺皮质残余肿瘤在儿科人群中极为罕见。它们通常沿着性腺下降路径(腹腔轴、阔韧带、睾丸附件或精索)发现。也有报道称其发生在罕见的异位部位,如颅内、胎盘、肾脏、胰腺和肝脏。

临床病例

在此,我们呈现一例罕见病例,一名8岁男孩的异位、导致男性化的原发性肾上腺皮质肿瘤位于脊柱区域。

讨论

这是儿科人群中首例位于脊柱区域的功能性异位肾上腺皮质肿瘤。我们在此讨论临床表现和诊断挑战,并提供文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa8/4557221/401c8e398891/13052_2015_169_Fig1_HTML.jpg

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