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库欣综合征的诊断与治疗问题。7例系列报道。

Diagnostic and therapeutic problems in Cushing's syndrome. Series of 7 cases.

作者信息

Dimopoulos C, Scouteris M, Barbalias G, Oeconomacos G, Ballas P, Daicos G

出版信息

Eur Urol. 1978;4(1):27-32. doi: 10.1159/000473904.

DOI:10.1159/000473904
PMID:627222
Abstract

A series of 7 patients (all females) with Cushing's syndrome are presented. The syndrome was due to an adenoma of the cortex in 4 cases, to a carcinoma in 1 and to bilateral adrenal hyperplasia in another. In the 7th patient the cortical hyperplasia was due to a bronchogenic carcinoma (ectopic production of ACTH). Surgery was performed in all patients except 1. In 5 patients (adenoma, carcinoma) the diseased adrenal was removed. In 1 patient a left total and a right subtotal adrenalectomy were performed. Out of those 7 patients 4 survived and 3 died. 1 died a few hours after surgery, another 3 months after operation and the last one was never operated on.

摘要

本文报告了7例库欣综合征患者(均为女性)。其中4例综合征由皮质腺瘤引起,1例由癌引起,另1例由双侧肾上腺增生引起。第7例患者的皮质增生是由支气管源性癌(促肾上腺皮质激素异位产生)所致。除1例外,所有患者均接受了手术。5例患者(腺瘤、癌)切除了患病肾上腺。1例患者进行了左侧肾上腺全切和右侧肾上腺次全切除。7例患者中4例存活,3例死亡。1例术后数小时死亡,另1例术后3个月死亡,最后1例未接受手术。

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