Mersey J H, Ceballos L, Levin P, Busky S
Department of Medicine, Veterans Administration Medical Center, Baltimore, MD 21218.
South Med J. 1988 Feb;81(2):275-8. doi: 10.1097/00007611-198802000-00034.
In a 48-year-old man with gynecomastia but no other signs of feminization, routine evaluation revealed only minimally elevated serum estrogens. The diagnosis of an estrogen-secreting adrenal tumor was suggested by CT and confirmed by adrenal venous sampling. This tumor was found to be ACTH-responsive. Results in this patient are compared with those in normal volunteers, in whom adrenal venous sampling failed to localize estrogen secretion and in whom ACTH did not increase estrogens.
一名48岁男性患有男性乳腺增生，但无其他女性化体征，常规检查仅发现血清雌激素轻度升高。CT检查提示为分泌雌激素的肾上腺肿瘤，肾上腺静脉采血检查得以确诊。发现该肿瘤对促肾上腺皮质激素（ACTH）有反应。将该患者的检查结果与正常志愿者进行比较，正常志愿者的肾上腺静脉采血未能定位雌激素分泌部位，且ACTH未使雌激素升高。
