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タイトル: | Cushing症候群を主徴とした副腎皮質癌の1剖検例 |
その他のタイトル: | Adrenocortical carcinoma causing Cushing's syndrome: report of a case |
著者: | 小松, 洋輔 高橋, 陽一 福山, 拓夫 |
著者名の別形: | Komatsu, Yosuke Takahashi, Yoichi Fukuyama, Takuo |
キーワード: | Adrenal Gland Neoplasms/complications/pathology Adult Autopsy Carcinoma/complications/pathology Cushing Syndrome/etiology Female Humans Neoplasm Metastasis |
発行日: | Feb-1970 |
出版者: | 京都大学医学部泌尿器科学教室 |
誌名: | 泌尿器科紀要 |
巻: | 16 |
号: | 2 |
開始ページ: | 51 |
終了ページ: | 58 |
抄録: | A case of adrenocortical carcinoma seen in a 29-year-old woman was reported. She presented a typical Cushing's syndrome with moon face, obesity of Buffalo type, acne, hirsutism, amenorrhea and hypertension. Urinary 17KS was 225~486mg/day and 170HCS 24~60mg/day, both being elevated. Among the fractions of 17 KS, dehydroepiandrosterone and 11-hydroxyandrosterone were increased. Among those of 170HCS, an increase of tetrahydro-compound S was striking. Pregnanetriol and pregnanediol were also increased. The patient died on the 54th day after a diagnosis was made. On autopsy, the left adrenal showed tumor of 12×9.5×6.5 cm in size involving the left kidney. Tumor thrombosis was seen in the adrenal vein bilaterally. Multiple metastases to the liver, lungs, right adrenal, lumbar vertebrae and lymph nodes were observed. |
URI: | http://hdl.handle.net/2433/121096 |
PubMed ID: | 5462077 |
出現コレクション: | Vol.16 No.2 |
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