疑似肾上腺皮质癌患者出现自发性肾上腺出血并伴有硫酸脱氢表雄酮升高。
Spontaneous adrenal hemorrhage with dehydroepiandrosterone-sulfate elevation in a patient with suspected adrenal cortical carcinoma.
作者信息
Shimokihara Kota, Kawahara Takashi, Mochizuki Taku, Morinaga Ryota, Izumi Koji, Sanjyo Hiroyuki, Nakaigawa Noboru, Yao Masahiro, Otani Masako, Uemura Hiroji
机构信息
Departments of Urology and Renal Transplantation Yokohama City University Medical Center Yokohama Japan.
Department of Urology Yokohama City University Graduate School of Medicine Yokohama Japan.
出版信息
IJU Case Rep. 2019 Feb 22;2(2):102-104. doi: 10.1002/iju5.12053. eCollection 2019 Mar.
INTRODUCTION
Spontaneous adrenal hemorrhage is a relatively rare disease that is sometimes difficult to differentiate from adrenal cortical carcinoma. We herein report a case of spontaneous adrenal hemorrhage with dehydroepiandrosterone-sulfate elevation.
CASE PRESENTATION
The patient was a 78-year-old man with an adrenal tumor that had increased in size to 42 mm. With the exception of an elevated dehydroepiandrosterone-sulfate level (2281 ng/mL), the results of a hormone analysis were almost normal. Laparoscopic adrenal tumor resection was performed. The pathological diagnosis was adrenal hematoma.
CONCLUSION
We reported a case of spontaneous adrenal hemorrhage in a patient with dehydroepiandrosterone-sulfate elevation.
引言
自发性肾上腺出血是一种相对罕见的疾病，有时难以与肾上腺皮质癌相鉴别。我们在此报告一例伴有硫酸脱氢表雄酮升高的自发性肾上腺出血病例。
病例介绍
患者为一名78岁男性，患有肾上腺肿瘤，肿瘤大小已增至42毫米。除硫酸脱氢表雄酮水平升高（2281纳克/毫升）外，激素分析结果几乎正常。进行了腹腔镜肾上腺肿瘤切除术。病理诊断为肾上腺血肿。
结论
我们报告了一例伴有硫酸脱氢表雄酮升高的自发性肾上腺出血患者。
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