期刊文献+

胸腺瘤致异位ACTH综合征并诊断思路

Ectoptic ACTH Syndrome Due to Thymoma and Diagnostic Procedure
下载PDF
导出
摘要 本病例报告1例胸腺瘤引起的异位ACTH综合征,进行诊断思路的分析。该病例有典型库兴征临床特征,并出现血压、电解质、性激素、血糖异常及免疫低下。因皮质醇及ACTH异常升高,提示我们向异位ACTH病灶搜寻,发现肾上腺均匀增生及胸腺占位,行纵膈肿瘤切除术,病理证实胸腺瘤(倾向A型)。 Here report a case of ectopic ACTH syndrome due to thymoma,and analyze the diagnostic procedure.This case contains typical clinical feature of Cushing's syndrome with anomalism of pressure,electrolyte,gonadal hormone,blood glucose and hypoimmunity.Significant increasing of corticosteroid and ACTH prompt us to search ectopic oven,and then we find even hyperplasy of adrenal gland and neoplasm in the thymus.Biopsy confirms thymoma(tendency of type A) after resection of mediastinal neoplasm.
作者 李莹 曹益瑞
出处 《罕少疾病杂志》 2011年第5期20-22,26,共4页 Journal of Rare and Uncommon Diseases
关键词 库兴综合征 异位ACTH综合征 胸腺瘤 Cushing's syndrome ectopic ACTH syndrome thymoma
  • 相关文献

参考文献9

  • 1史秩蘩.协和内分泌和代谢学[M].北京:科学出版社,1999..
  • 2Shah NA,Urusova IA,D'Agnolo A,Colquhoun SD et al.Primary hepatic carcinoid tumor presenting as Cushing's syndrome[J].Endocrinol Invest,2007 Apr,30(4):327-33.
  • 3于心亚,毛树森,纪树国.胸腺类癌研究进展[J].罕少疾病杂志,2001,8(4):25-26. 被引量:10
  • 4宁光.异位ACTH综合征研究进展[J].中国实用内科杂志:临床前沿版,2006,26(11):1757-1759. 被引量:10
  • 5毕宇芳,宁光,陈宇红,叶蕾,苏颋为,孙首悦,顾卫琼,杨军,朱娜,姜蕾,刘建民,李小英,王卫庆.17例异位ACTH综合征的前瞻性研究[J].上海交通大学学报(医学版),2006,26(1):43-47. 被引量:16
  • 6张熙曾.纵隔肿瘤学[M].北京:中国医药科技出版社,2003.79-96.
  • 7Tsagarakis,S,Vassiliadi,D et al.The Application of the Combined Corticotropin-Releasing Hormone plus Desmopressin Stimulation during Petrosal Sinus Sampling Is Both Sensitive and Specific in Differentiating Patients with Cushing's Disease from Patients with the Occult Ectopic Adrenocorticotropin Syndrome[J].Clinical Endocrinology & Metabolism,2007 June,92(6):2080-2086.
  • 8廖振涛,曹显波,于永军.胸腺瘤合并重症肌无力的治疗[J].罕少疾病杂志,2010,17(6):28-29. 被引量:3
  • 9Hamid,Zulekha,Faas,Fred.Cyclical cushing's syndrome due to bronchial carcinoid:early diagnosis and prompt treatment[J].Endocrinologist,2008 March/April,18(2):95-100.

二级参考文献42

  • 1吕朝晖,陆菊明,金文胜,窦京涛,母义明,潘长玉.异位ACTH综合征和库欣病伴低血钾临床特点的比较[J].中华内分泌代谢杂志,2004,20(5):438-440. 被引量:25
  • 2毕宇芳,孙首悦,陈中元,金晓龙,王卫庆,顾卫琼,赵咏桔,宁光.胸腺类癌致异位ACTH综合征一例报告[J].中华内分泌代谢杂志,2004,20(5):476-477. 被引量:3
  • 3毕宇芳,叶蕾,宁光,江凌,范惠咏,赵春军,张济,王侃侃,戴蒙,孙首悦,赵咏桔,陈中元,金晓龙,李小英,王卫庆.以基因芯片技术研究胸腺类癌引起异位ACTH综合征的基因表达[J].中华内分泌代谢杂志,2005,21(2):135-137. 被引量:7
  • 4毕宇芳,宁光,陈宇红,叶蕾,苏颋为,孙首悦,顾卫琼,杨军,朱娜,姜蕾,刘建民,李小英,王卫庆.17例异位ACTH综合征的前瞻性研究[J].上海交通大学学报(医学版),2006,26(1):43-47. 被引量:16
  • 5[2]Wajchenberg BL,Mendonca BB,Liberman B,et al.Ectopic adrenocorticotropic hormone syndrome[J].Endocr Rev,1994,15(6):752-786.
  • 6[4]Aniszewski JP,Young WF,Thompson GB,et al.Cushing syndrome due to ectopic adrenocorticotropic hormone secretion[J].World J Surg,2001,25(7):934-940.
  • 7[5]Reimondo G,Paciotti P,Minetto M,et al.The corticotrophin-releasing hormone test is the most reliable noninvasive method to differentiate pituitary from ectopic ACTH secretion in Cushing's syndrome[J].Clin Endocrinol,2003,58(6):718-724.
  • 8[6]Dall'Asta C,Santambrogio L,Castellani M,et al.Difficulties in diagnosis and treatment of ectopic ACTH-producing tumors of the chest[J].Eur J Cardiothorac Surg.,2002,21(1):149-151.
  • 9[9]Wajchenberg BL,Mendonca BB,Liberman B,et al.Ectopic adrenocorticotropic hormone syndrome[J]Endocr Rev,1994,15(6):752-787.
  • 10[10]Illias I,Torpy DJ,Pacak K,et al.Cushing's syndrome due to ectopic corticotropin secretion:twenty years' experience at the national institutes of health[J].J Clin Endocrinol Metab,2005,90(8):4955-4962.

共引文献36

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部