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伪装成肾上极肿块的大结节性肾上腺增生。

Macronodular adrenal hyperplasia masquerading as an upper pole renal mass.

作者信息

Owens-Walton Jeunice, Gurram Sandeep, Merino Maria J, Linehan W Marston, Ball Mark W

机构信息

Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

Laboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.

出版信息

Urol Case Rep. 2021 Feb 12;37:101603. doi: 10.1016/j.eucr.2021.101603. eCollection 2021 Jul.

DOI:10.1016/j.eucr.2021.101603
PMID:33665124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7900682/
Abstract

Macronodular hyperplasia (MAH) of the adrenal gland is a rare disease usually presenting with Cushing Syndrome. Although usually readily apparent on imaging, an adrenal tumor in an asymptomatic patient may be mistaken for a renal tumor. We present a patient with combined macro- and micro-nodular adrenal hyperplasia masquerading as an upper pole renal mass. The patient underwent a robotic partial nephrectomy and partial adrenalectomy without complication.

摘要

肾上腺大结节性增生(MAH)是一种罕见疾病,通常表现为库欣综合征。尽管在影像学检查中通常很容易发现,但无症状患者的肾上腺肿瘤可能会被误诊为肾肿瘤。我们报告一例患者,其肾上腺大结节和小结节混合增生伪装成肾上极肿物。该患者接受了机器人辅助下部分肾切除术和部分肾上腺切除术,术后无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e8/7900682/b5e75d64100f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e8/7900682/e515a4cdb043/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e8/7900682/b5e75d64100f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e8/7900682/e515a4cdb043/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e8/7900682/b5e75d64100f/gr2.jpg

相似文献

1
Macronodular adrenal hyperplasia masquerading as an upper pole renal mass.伪装成肾上极肿块的大结节性肾上腺增生。
Urol Case Rep. 2021 Feb 12;37:101603. doi: 10.1016/j.eucr.2021.101603. eCollection 2021 Jul.
2
Laparoscopic upper pole partial nephrectomy with concomitant en bloc adrenalectomy.腹腔镜上极部分肾切除术联合整块肾上腺切除术
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Is unilateral adrenalectomy an alternative treatment for ACTH-independent macronodular adrenal hyperplasia?: Long-term follow-up of four cases.单侧肾上腺切除术是促肾上腺皮质激素非依赖性大结节性肾上腺增生的替代治疗方法吗?:4例长期随访
Eur J Endocrinol. 2002 Feb;146(2):237-40. doi: 10.1530/eje.0.1460237.
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[Morphology of the adrenal cortex in Cushing's syndrome].[库欣综合征中肾上腺皮质的形态学]
Schweiz Med Wochenschr. 1980 Sep 6;110(36):1300-6.
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Nodular adrenal hyperplasia and Cushing's syndrome.结节性肾上腺增生与库欣综合征。
Surgery. 1983 Dec;94(6):919-25.
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Macronodular adrenal hyperplasia causing Cushing's syndrome: report of two cases and an overview.
Surg Today. 1992;22(5):456-60. doi: 10.1007/BF00308798.
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[Adrenocortical macronodular hyperplasia with massive enlargement of the gland. A rare variant of autonomous hypercortisolism].[肾上腺皮质大结节性增生伴腺体巨大增大。自主性皮质醇增多症的一种罕见变异型]
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Extensive ARMC5 genetic variance in primary bilateral macronodular adrenal hyperplasia that started with exophthalmos: a case report.以突眼起病的原发性双侧大结节性肾上腺增生中的广泛ARMC5基因变异:一例报告
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A case of severe hypertension caused by ACTH-independent macronodular adrenal hyperplasia.一例由促肾上腺皮质激素非依赖性大结节性肾上腺增生引起的严重高血压病例。
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本文引用的文献

1
Long-term Functional and Oncologic Outcomes of Partial Adrenalectomy for Pheochromocytoma.部分肾上腺切除术治疗嗜铬细胞瘤的长期功能和肿瘤学结果。
Urology. 2020 Jun;140:85-90. doi: 10.1016/j.urology.2020.02.015. Epub 2020 Feb 26.
2
Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors.肾上腺偶发瘤的管理:欧洲内分泌学会临床实践指南与欧洲肾上腺肿瘤研究网络合作制定
Eur J Endocrinol. 2016 Aug;175(2):G1-G34. doi: 10.1530/EJE-16-0467.
3
Adrenal nodular hyperplasia in hereditary leiomyomatosis and renal cell cancer.
遗传性平滑肌瘤病和肾癌中的肾上腺结节性增生。
J Urol. 2013 Feb;189(2):430-5. doi: 10.1016/j.juro.2012.07.139. Epub 2012 Sep 19.
4
Imaging of uncommon retroperitoneal masses.腹膜后罕见肿块的影像学表现。
Radiographics. 2011 Jul-Aug;31(4):949-76. doi: 10.1148/rg.314095132.
5
Carney complex and other conditions associated with micronodular adrenal hyperplasias.卡尼复合体和其他与微结节性肾上腺增生相关的病症。
Best Pract Res Clin Endocrinol Metab. 2010 Dec;24(6):907-14. doi: 10.1016/j.beem.2010.10.006.