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先天性肾上腺增生继发睾丸肾上腺残余肿瘤（TART）：一例强调早期检测与管理的病例报告

Testicular adrenal rest tumors (TART) secondary to congenital adrenal hyperplasia: A case report emphasizing early detection and management.

作者信息

Tuladhar Sasmita, Katwal Shailendra, Joshi Hari Om, Yadav Bhawani, Bhusal Amrit, Bhandari Sushmita

机构信息

Department of Radiology, Kanti Children's Hospital, Kathmandu, Nepal.

Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, Nepal.

出版信息

Radiol Case Rep. 2023 Sep 29;18(12):4351-4356. doi: 10.1016/j.radcr.2023.09.006. eCollection 2023 Dec.

DOI:10.1016/j.radcr.2023.09.006
PMID:37789918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10542771/
Abstract

This study highlights the significance of testicular adrenal rest tumors (TARTs) in the context of congenital adrenal hyperplasia (CAH). The case report of an 11-year-old male with bilateral scrotal enlargement underscores the diagnostic challenges and complexities involved. Through thorough clinical, radiological, and hormonal assessments, we elucidate the pathophysiology, prevalence, and potential impact on fertility. Early detection and management of TARTs are crucial for preserving testicular function. Regular scrotal ultrasound screenings are recommended to avert long-term complications in male CAH patients.

摘要

本研究强调了睾丸肾上腺残余肿瘤（TARTs）在先天性肾上腺皮质增生症（CAH）背景下的重要性。一名11岁男性双侧阴囊增大的病例报告突显了其中涉及的诊断挑战和复杂性。通过全面的临床、放射学和激素评估，我们阐明了其病理生理学、患病率以及对生育能力的潜在影响。TARTs的早期检测和管理对于保护睾丸功能至关重要。建议对男性CAH患者定期进行阴囊超声筛查，以避免长期并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/c8839c5ff576/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/4d1bb4a12344/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/e6e80de1d3e7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/ec6f146288d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/52679e892034/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/c8839c5ff576/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/4d1bb4a12344/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/e6e80de1d3e7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/ec6f146288d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/52679e892034/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ff/10542771/c8839c5ff576/gr5.jpg

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本文引用的文献

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Multiparametric ultrasound imaging characteristics of multiple testicular adrenal rest tumours in congenital adrenal hyperplasia.先天性肾上腺皮质增生症中多个睾丸肾上腺残余肿瘤的多参数超声成像特征
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Testicular Adrenal Rest Tumors: Current Insights on Prevalence, Characteristics, Origin, and Treatment.睾丸肾上腺残余肿瘤：患病率、特征、起源和治疗的最新见解。
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