摘要
同时分泌醛固酮和皮质醇的肾上腺皮质癌非常罕见。本文回顾了1例以高血压、低血钾、肾上腺占位为临床表现的肾上腺皮质癌患者10年完整、详细的病历资料并复习相关文献, 了解肾上腺皮质癌临床表现、病理及生物学行为的差异性, 希望能够帮助临床医生识别肾上腺皮质癌, 特别是对有复发倾向、同时分泌多种内分泌激素的肾上腺占位更要引起重视。
A 10-year follow-up case of aldosterone and cortisol-secreting adrenocortical carcinoma,a rare disease presenting as an adrenal space-occupying lesion accompanied with hypertension and hypokalemia was reported,and the medical record was investigated in detail.Through case presentation and literature review,it was noted that patients with adrenocortical carcinoma presented a difference in clinical manifestations,pathology,and biological behaviors.This paper may help clinicians enhance their understanding of adrenocortical carcinoma.Especially significant adrenal space-occupying lesions highly suspicious of recurrence and producing different types of endocrine hormones should be paid more attention.
作者
田嘉嘉
向菲
吴学毅
邵丽娟
黎丽
卢瑞东
王莲地
Tian Jiajia;Xiang Fei;Wu Xueyi;Shao Lijuan;Li Li;Lu Ruidong;Wang Liandi(Department of Endocrinology,the Second People′s Hospital of Guiyang,Guiyang 550081,China)
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2023年第7期616-620,共5页
Chinese Journal of Endocrinology and Metabolism
关键词
醛固酮
皮质醇
肾上腺皮质癌
高血压
低血钾
Aldosterone
Cortisol
Adrenocortical carcinoma
Hypertension
Hypokalemia