中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
24期
2892-2894
,共3页
蔡芸莹%苏恒%牛奔%欧杨%张云%薛元明
蔡蕓瑩%囌恆%牛奔%歐楊%張雲%薛元明
채예형%소항%우분%구양%장운%설원명
肾上腺皮质疾病%增生%肾上腺皮质肿瘤%21-羟化酶缺陷症%诊断
腎上腺皮質疾病%增生%腎上腺皮質腫瘤%21-羥化酶缺陷癥%診斷
신상선피질질병%증생%신상선피질종류%21-간화매결함증%진단
Adrenal cortex diseases%Hyperplasia%Adrenal cortex neoplasms%21-hydroxylase deficiency%Diagnosis
先天性肾上腺皮质增生症患者中,肾上腺大结节性增生或肾上腺皮质肿瘤的发生率较普通人群明显增加。本文报道了1例先天性肾上腺皮质增生症合并肾上腺包块患者经糖皮质激素替代治疗后肾上腺包块明显缩小,提示提高对先天性肾上腺皮质增生症合并肾上腺包块发病机制及诊断的认识,可避免不必要的肾上腺切除。
先天性腎上腺皮質增生癥患者中,腎上腺大結節性增生或腎上腺皮質腫瘤的髮生率較普通人群明顯增加。本文報道瞭1例先天性腎上腺皮質增生癥閤併腎上腺包塊患者經糖皮質激素替代治療後腎上腺包塊明顯縮小,提示提高對先天性腎上腺皮質增生癥閤併腎上腺包塊髮病機製及診斷的認識,可避免不必要的腎上腺切除。
선천성신상선피질증생증환자중,신상선대결절성증생혹신상선피질종류적발생솔교보통인군명현증가。본문보도료1례선천성신상선피질증생증합병신상선포괴환자경당피질격소체대치료후신상선포괴명현축소,제시제고대선천성신상선피질증생증합병신상선포괴발병궤제급진단적인식,가피면불필요적신상선절제。
The incidence of adrenal macro-nodular hyperplasia or adrenocortical tumors in patients with congenital adrenal hyperplasia( CAH)is significantly higher than the general population. This article presented a CAH patient combined with adrenal mass,whose adrenal mass was obviously attenuated after the replacement therapy with glucocorticoids. It indicates that improving our understanding of pathophysiology and diagnosis of adrenal mass in CAH patients can avoid unnecessary adrena-lectomy.