腺腫によるクッシング症候群4例の手術治験 われわれの教室における副腎疾患の臨床 -その4-

Abstract

1) Four cases of Cushing's syndrome due to unilateral adrenal adenoma were recently experienced. In all cases the affected side was preoperatively decided by PRP, adrenal scintigram and selective adrenal venography. Extirpation of tumor or unilateral adrenalectomy was performed in each case and postoperative result was satisfactory. One of them was a rare case associated with primary hypothyroidism. 2) Adrenal scintigram was very useful to decide the side of tumor with little side effect or damage. 3) While steroid dosage for postoperative replacement was rapidly reduced, no symptom of adrenal insufficiency was encountered except mild anorexia and nausea. In some of them, 10-20 I. U. of ACTH-Z in gel was administered twice or three times weekly to stimulate the remaining adrenal. 4) This paper contained some statistical studies on Cushing's syndrome due to adrenal adenoma, especially 28 cases reported from 1972 to Aug. 1975 in Japan, including our 4 cases.