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复发性肾上腺皮质肿瘤导致的复发性库欣综合征——异位肾上腺组织中的碎片还是肿瘤?

Recurrent Cushing's syndrome due to recurrent adrenocortical tumor--fragmentation or tumor in ectopic adrenal tissue?

作者信息

Leibowitz J, Pertsemlidis D, Gabrilove J L

机构信息

Bronfman Department of Medicine, Mount Sinai Hospital and Mount Sinai School of Medicine of the City University of New York, New York 10029, USA.

出版信息

J Clin Endocrinol Metab. 1998 Nov;83(11):3786-9. doi: 10.1210/jcem.83.11.5260.

DOI:10.1210/jcem.83.11.5260
PMID:9814447
Abstract

A 33-yr-old woman was found to have Cushing's syndrome due to a left adrenal cortical tumor. The tumor and the surrounding adrenal gland were removed intact and in toto. Four years later, she noticed recurrent symptoms of Cushing's syndrome, and 6 yr postoperatively, an adrenal tumor was demonstrable on computed tomography. Fourteen years after the initial procedure, a left adrenal tumor, presumably arising in ectopic adrenal tissue, was removed with relief of her symptoms of Cushing's syndrome. The site and functional capacity of ectopic adrenal tissues are reviewed.

摘要

一名33岁女性因左肾上腺皮质肿瘤被诊断为库欣综合征。肿瘤及周围肾上腺被完整整块切除。四年后,她出现库欣综合征复发症状,术后6年,计算机断层扫描显示有肾上腺肿瘤。首次手术后14年,一个可能起源于异位肾上腺组织的左肾上腺肿瘤被切除,她的库欣综合征症状得到缓解。本文对异位肾上腺组织的部位和功能进行了综述。

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