宫外激素综合征:库希综合征和巨症
1Experimental Endocrinology Unit, Endocrine Service, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
Archives of medical research
|November 25, 2023
概括
瘤的宫外激素产生,虽然不常见,但在临床上具有意义. 本综述强调了诊断和管理子宫外库辛综合征和巨病的挑战,并强调了更新指南的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 新生病综合征 新生病综合征
背景情况:
- 神经内分泌和非内分泌瘤的异位激素产生可以导致显著的临床综合征.
- 增长激素 (GH),上腺皮质激素 (ACTH) 和它们的释放因子是不常见的子宫外来源.
- 宫外ACTH综合征得到了更多的研究,但对于宫外库辛综合征和巨缺乏全面的指导方针.
研究的目的:
- 审查有关与子宫外激素产生相关的瘤的当前数据.
- 讨论子宫外库辛综合征和壮症的分类,诊断和管理.
- 突出诊断和治疗方面的挑战以及需要多学科指导方针.
主要方法:
- 关于瘤中宫外激素产生的文献综述.
- 对分类,诊断和治疗方面的进展进行分析.
- 关于子宫外库辛综合征和壮症的综合数据.
主要成果:
- 神经内分泌瘤和具有神经内分泌分化的瘤的发生率正在上升.
- 在诊断和管理子宫外激素综合征方面存在重大陷.
- 对这些疾病缺乏全面的,多学科的指导方针.
结论:
- 宫外激素的产生,特别是ACTH,GH及其释放因子,需要仔细的临床考虑.
- 更好的理解和更新的指导方针对于管理子宫外库辛综合征和巨症至关重要.
- 跨学科的方法对于解决这些罕见的瘤综合征的复杂性至关重要.
相关概念视频
Adrenal Gland Disorders
1.6K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.6K
Major Hormones and Their Functions
423
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
423
Hormones of the Adrenal Glands
2.5K
Adrenal hormones play a pivotal role in maintaining the body's electrolyte balance and orchestrating responses to stress, showcasing the intricate functions of the adrenal cortex and medulla.
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and...
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and...
2.5K
Regulation of Hormone Secretion
3.5K
Regulation of hormone secretion is a finely tuned orchestration driven by various types of stimuli, encompassing neural, humoral, and hormonal signals. Environmental cues instigate neural stimuli, where action potentials traverse nerve fibers to reach their designated targets. An illustrative scenario is the body's response to stress, wherein the sympathetic nervous system releases epinephrine from the adrenal glands, inducing the well-known 'fight or flight' reaction.
Humoral...
Humoral...
3.5K
Structures of the Endocrine System
7.6K
The intricate framework of the endocrine system encompasses a diverse array of glands, with their target tissues and organs strategically distributed throughout the body. Central to this network are the endocrine glands, specialized structures that lack ducts and release hormones directly into the interstitial fluid. Notably, the hypothalamus, a vital neuroendocrine organ situated in the brain, governs neural functions and serves as a potent source of hormonal regulation. Near the hypothalamus...
7.6K
Hypothalamic-Pituitary Axis
60.2K
The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
60.2K


