알도스테론 분비를 동반한 부신피질암 1예
기관명 | NDSL |
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저널명 | 대한내분비학회지 = Journal of Korean society of endocrinology |
ISSN | 1015-6380, |
ISBN |
저자(한글) | 이유홍,박태진,김혜진,김대중,이관우,김명욱,김장희,이태희,정윤석 |
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저자(영문) | |
소속기관 | |
소속기관(영문) | |
출판인 | |
간행물 번호 | |
발행연도 | 2008-01-01 |
초록 | Primary aldosteronism is a syndrome characterized by hypokalemic alkalosis and hypertension. Aldosteroneproducing adenomas and bilateral adrenal hyperplasia are common causes of this syndrome. An aldosteroneproducing adrenocortical carcinoma is a very rare cause of primary aldosteronism. Recently we experienced a case of an aldosterone-producing adrenocortical carcinoma. A 41-year-old female was admitted for evaluation of a retroperitoneal mass. Because of hypokalemia and a history of hypertension, we evaluated the patient for primary aldosteronism. The high ratio of plasma aldosterone to renin activity suggested the possibility of the presence of primary aldosteronism. We performed adrenal vein sampling for differential diagnosis of an aldosterone-producing tumor from a retroperitoneal mass. The adrenal vein sampling showed that the primary aldosteronism was due to an aldosterone-producing tumor from the left adrenal gland. Surgical findings indicated that the retroperitoneal mass originated from the left adrenal gland and the pathological diagnosis for the mass was an adrenocortical carcinoma. In conclusion, the results from the adrenal vein sampling, as well as the surgical and pathological findings demonstrate that this case was an aldosterone-producing adrenocortical carcinoma. |
원문URL | http://click.ndsl.kr/servlet/OpenAPIDetailView?keyValue=03553784&target=NART&cn=NART48059479 |
첨부파일 |
과학기술표준분류 | |
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ICT 기술분류 | |
DDC 분류 | |
주제어 (키워드) | adrenocortical carcinoma,aldosteronism,retroperitoneal mass |