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自从1955年Conn报道原发性醛固酮增多症(以下简称原醛症)以来,文献已报道大量病例。原醛症的常见病因是产生醛固酮的肾上腺皮质腺瘤和癌。肾上腺皮质腺癌重达1,000g以上者并非罕见,但腺癌一般很小。 作者报道1例伴有钙化和囊肿的巨大肾上腺皮质腺瘤,其表现为原醛症。患者男性,32岁,因腹平片发现异常影象而入院。查体仅发现高血压(160/90mmHg)。化验结果为典型原醛症:醛固酮升高、血浆肾素水平波抑制、17-羟皮质酮正常。
Since Conn reported primary aldosteronism in 1955 (hereinafter referred to as primary aldosteronism), a large number of cases have been reported in the literature. The common cause of primary aldosteronis is aldosterone-producing adrenocortical adenoma and cancer. Adrenocortical adenocarcinoma weighing more than 1,000g is not uncommon, but adenocarcinoma is generally small. The authors report a case of giant adrenocortical adenoma with calcification and cysts, which is characterized by a proto-aldolic. The patient, male, 32 years old, was admitted to hospital for abnormal findings of abdominal plain film. Examination found only high blood pressure (160 / 90mmHg). The test results for the typical proto-aldehyde: aldosterone, plasma renin inhibition, 17-hydroxycorticosterone normal.