蝶窦内异位垂体腺瘤引起库兴氏综合征

• 作 者: 陶庆丰
• 出 处: 国外医学.内分泌学分册
• 发表日期: 1986年01期
• 关键词: 库兴综合征 垂体腺瘤 皮质醇增多症 垂体腺癌 库兴氏综合征 肾上腺增生 小瘤 活性物质 蝶鞍 嫌色细胞腺瘤

库兴综合征(垂体依赖性肾上腺增生)仍在向最有经验的医生挑战,因为诊断及治疗皮质醇增多症常很困难,尤其在患有能产生ACTH活性物质的无痛性肿瘤的病人。作者最近治疗了一例库兴综合征病人,该病人作蝶鞍CT扫描时偶然发现的蝶骨小瘤,证明是一个异位垂体腺癌。蝶骨肿瘤的切除,治愈了皮质醇增多症。

Cushing’s syndrome (pituitary-dependent adrenal hyperplasia) is still challenging the most experienced physicians because diagnosis and treatment of hypercortisolism are often difficult, especially in patients with painless tumors that produce ACTH-active substances. The author recently treated a patient with Cushing’s Syndrome, who was accidentally discovered as a sphenoid tumor on a CT scan of the sella, and proved to be an extratopic pituitary adenocarcinoma. The excision of sphenoid tumors cured the hypercortisolism.