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一例分泌醛固酮和皮质醇的肾上腺皮质癌10年演变及文献复习

Aldosterone and cortisol-secreting adrenocortical carcinoma: a 10-year follow-up case report and literature review
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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
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