非定型的なCushing症候群の1例

• 松井 祥治

  加古川市民病院外科

• 杉本 武巳

  加古川市民病院外科

• 西田 勝浩

  加古川市民病院外科

• 中沢 健

  加古川市民病院外科

• 福田 裕

  加古川市民病院外科

• 藤田 彊

  加古川市民病院外科

• 仁木 敏晴

  加古川市民病院内科

書誌事項

タイトル別名

• AN ATYPICAL CASE OF CUSHING SYNDROME

抄録

A 44-year-old woman was admitted to the hospital because of lumbago and muscular weakness of the lower extremities. X-P of the thoracic and lumbar vertebrae revealed multiple compression fracture. Blood cortisol and urine 17-OHCS levels were as high as 22.7mmg/dl and 11.8mg/day, respectively. ACTH level was in the lower normal limit, 4.4pg/ml. A probable diagnosis of Cushing syndrome due to an adrenal tumor was supposed.<br> With ultrasonography, CT, MRI, and angiography the left adrenal tomor was identified. Under left subcostal laparotomy the mobilization of the pancreatic tail and spleen was performed and the tumor was extirpated. The extirpated tumor was 3.5×2.5×2.5cm in size and 13 g in weight. The section presented canary yellow.<br> Histological findings indicated adrenal adenoma. After the operation mellitus and hypertension improved. Blood cortisol and urine 17-OHCS levels decreased. ACTH increased, because it was released from the negative feedback.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 56 (9), 1941-1945, 1995

  日本臨床外科学会

キーワード

• Cushing症候群
• 副腎腺腫
• 腰痛

詳細情報

• CRID: 1390001205314181760
• NII論文ID: 130003432078
• NII論文ID: 10008515753
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.56.1941
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/56/9/56_9_1941/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996122516
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可