Shiramizu M, Nakajima N, Katsuoka Y
Hinyokika Kiyo. 1985 Nov;31(11):2007-13.
A 49-year-old female was admitted for evaluation of the abdominal mass which had been incidentally found by ultrasonography during the work up of diabetes mellitus. There was no evidence suggesting hormonal hyperactivity along with the clinical symptoms and the laboratory data. CT scan revealed a small round mass over the right renal upper pole which was in homogeneously enhanced by contrast dye. Right adrenal venography showed the round mass compressing the right adrenal central vein, and hormonal sampling in several portions of the venous system gave unremarkable results. The abdominal mass was resected and the histologic diagnosis was benign adrenal cortical adenoma. This case of nonfunctioning adrenal cortical adenoma is presented, and the management of asymptomatic adrenal tumors incidentally found was discussed.
一名49岁女性因评估腹部肿块入院,该肿块在糖尿病检查期间经超声偶然发现。临床症状和实验室数据均未提示激素活性亢进。CT扫描显示右肾上极有一个小圆形肿块,造影剂使其不均匀强化。右肾上腺静脉造影显示圆形肿块压迫右肾上腺中央静脉,在静脉系统多个部位进行的激素采样结果无异常。切除腹部肿块,组织学诊断为良性肾上腺皮质腺瘤。本文报告了这例无功能肾上腺皮质腺瘤病例,并讨论了偶然发现的无症状肾上腺肿瘤的处理方法。