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タイトル: | 男性更年期外来受診を契機に発見された鞍上部嚢胞性腫瘍による汎下垂体機能低下症の1例 |
その他のタイトル: | Panhypopituitarism Caused by an Intrasellar Cystic Mass in Late-Onset Hypogonadism Clinic |
著者: | 山本, 致之 ![]() 高田, 晋吾 ![]() 金城, 孝則 ![]() 野々村, 大地 ![]() 米田, 傑 ![]() 野村, 広徳 ![]() 鄭, 則秀 ![]() 松宮, 清美 ![]() 大楠, 崇浩 ![]() |
著者名の別形: | Yamamoto, Yoshiyuki Takada, Shingo Kinjo, Takanori Nonomura, Daichi Yoneda, Suguru Nomura, Hironori Tei, Norihide Matsumiya, Kiyomi Okusu, Takahiro |
キーワード: | Hypopituitarism Intrasellar cystic mass |
発行日: | Oct-2013 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 59 |
号: | 10 |
開始ページ: | 683 |
終了ページ: | 686 |
抄録: | A 74-year-old man who was referred to our late onset hypogonadism clinic presented with sweating and loss of appetite. His aging males' symptoms (AMS) and international index of erectile function (IIEF-5) scores were 59 and 2, respectively. His hormonal examination revealed extremely low free testosterone values. The patient was started on androgen replacement therapy, but his symptoms did not improve. Additional hormonal examinations revealed low values for other anterior pituitary hormones. Magnetic resonance imaging revealed an intrasellar cystic mass with suprasellar extension. We considered this mass caused hypothalamic hypopituitarism. A load test for anterior pituitary hormones revealed panhypogonadism. His symptoms improved after administration of adrenal and thyroid hormones and androgen. Five months after start of drug administration, his AMS score improved to 29, but IIEF-5 score showed little change. As a matter of course, not only androgen but all pituitary-related hormones are needed for hypopituitarism patients. |
著作権等: | 許諾条件により本文は2014-11-01に公開 |
URI: | http://hdl.handle.net/2433/179514 |
PubMed ID: | 24262712 |
出現コレクション: | Vol.59 No.10 |
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