多次复发的腺皮层瘤的女性化:一个案例报告
Joseph M Rich1, Vinay Duddalwar2,3,4, Phillip M Cheng2
1MD/PhD Program, USC-Caltech MD/PhD Program, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Case reports in oncology
|October 30, 2023
概括
女性化上皮瘤 (FATs) 是男性罕见的上腺癌. 这种病例显示FAT含有高雌激素,导致妇产不良和复发尽管手术.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 女性化上皮瘤 (FATs) 是一种罕见的上腺瘤.
- 他们呈现出雌激素过量和缺乏症,在成年男性中很常见.
- 脂肪通常是恶性的,预后不佳,复发率高.
研究的目的:
- 报告一个35岁的男性患上上腺脂肪的病例.
- 突出这一罕见瘤的临床表现,诊断和管理.
- 为了强调监测的重要性,由于高复发率.
主要方法:
- 一个35岁的男性患者的病例报告.
- 激素检测 (雌激素,) 和计算机断层扫描 (CT) 扫描.
- 手术切除和组织病理学检查.
- 对转移性复发的随访.
主要成果:
- 这位患者出现了妇产不适,阴高性质,亚临床库辛综合征和疼痛.
- 发现了高雌激素 (181 pg/mL) 和低丸激素 (37 ng/dL) 的水平.
- 在CT扫描中确定了一个边缘化的上腺质量.
- 手术后,症状消失了,但几年内发生了两个局部转移性复发.
结论:
- 上腺脂肪是罕见的和侵略性的瘤,即使是低级的.
- 由于复发率高,早期检测和警监测至关重要.
- 复发性疾病需要多学科管理,包括手术和医疗干预.
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