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肾上腺皮质嗜酸性细胞瘤所致库欣综合征:一例报告

Cushing's syndrome caused by adrenocortical oncocytoma: A case report.

作者信息

Gou Chengren, Jian Qingsong, Tian Maoqiang, Li Jinghai, Zhang Yi, Guo Zhenyu

机构信息

Department of Urology, The People's Hospital of Wuchuan, Zunyi, Guizhou 564300, P.R. China.

Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, P.R. China.

出版信息

Oncol Lett. 2024 Feb 28;27(4):177. doi: 10.3892/ol.2024.14310. eCollection 2024 Apr.

Abstract

Adrenal cortical eosinophilic adenoma usually presents as non-functional adrenal tumor but may lead to Cushing's syndrome in patients. The present article reports a patient with Cushing's syndrome caused by right adrenocortical oncocytoma. The patient was treated in Urology Department of Wuchuan People's Hospital (Zunyi, China) in November 2022 because of hirsutism, weight gain and hypertension. A laparoscopic right adrenal tumor resection was performed using an abdominal approach. Following surgery, blood pressure and heart rate of the patient fluctuated within a healthy range and menstruation returned to normal. Laparoscopic adrenalectomy has obvious advantages over open adrenalectomy, such as less trauma, shorter recovery time and fewer complications. Thus, this treatment for this rare disease is safe and feasible.

摘要

肾上腺皮质嗜酸性腺瘤通常表现为无功能肾上腺肿瘤,但在患者中可能导致库欣综合征。本文报道了一例由右肾上腺嗜酸性细胞瘤引起的库欣综合征患者。该患者因多毛、体重增加和高血压于2022年11月在贵州省遵义市务川县人民医院泌尿外科接受治疗。采用经腹入路进行了腹腔镜右肾上腺肿瘤切除术。术后,患者的血压和心率在健康范围内波动,月经恢复正常。腹腔镜肾上腺切除术相对于开放肾上腺切除术具有明显优势,如创伤小、恢复时间短和并发症少。因此,这种针对这种罕见疾病的治疗方法是安全可行的。

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