对促肾上腺皮质激素有反应的分泌雌激素的肾上腺肿瘤：通过肾上腺静脉采血进行定位

Estrogen-secreting adrenal tumor responsive to ACTH: localization by adrenal venous sampling.

作者信息

Mersey J H, Ceballos L, Levin P, Busky S

机构信息

Department of Medicine, Veterans Administration Medical Center, Baltimore, MD 21218.

出版信息

South Med J. 1988 Feb;81(2):275-8. doi: 10.1097/00007611-198802000-00034.

DOI:10.1097/00007611-198802000-00034

PMID:2829361

Abstract

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.

摘要

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。