Ishikawa S, Kazama T, Akiyama T, Nakada T, Katayama T
Hinyokika Kiyo. 1985 May;31(5):801-5.
The right suprarenal mass was found in a 21-year-old housewife. Her major clinical features were amenorrhea, polydipsia and buffalo hump obesity. Endocrinological and roentgenological studies suggested the presence of Cushing's syndrome due to adrenocortical carcinoma in addition to ipsilateral renal stone. The huge adrenal tumor and renal calculus were successfully removed. The histological diagnosis was adrenocortical carcinoma. Seventeen days after the operation, cis-platinum was administered to prevent the recurrence of tumor development. No recurrence has been observed for approximately 2 years after the surgery. Long follow-up must be pursued to clarify the real efficacy of cis-platinum treatment.
一名21岁的家庭主妇被发现右侧肾上腺有肿物。她的主要临床特征为闭经、多饮和向心性肥胖。内分泌学和放射学检查表明，除同侧肾结石外，还存在由肾上腺皮质癌引起的库欣综合征。巨大的肾上腺肿瘤和肾结石被成功切除。组织学诊断为肾上腺皮质癌。术后17天，给予顺铂以预防肿瘤复发。手术后约2年未观察到复发情况。必须进行长期随访以明确顺铂治疗的实际疗效。
