在患有嗅觉神经母细胞瘤的患者中,异位性上皮质激素综合征
Takuya Mikoshiba1, Mariko Sekimizu1, Shin Saito1
1Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Shinanomachi, Shinjuku-ku, Tokyo, Japan.
Endocrine-related cancer
|July 9, 2024
概括
嗅觉神经母细胞瘤很少会导致宫外 adrenocorticotropic 激素综合征. 这种情况可能在初始治疗后几年发展,可能是由疾病进展或诸如化疗等干预措施引发的.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 嗅觉神经母细胞瘤是一种罕见的瘤,不经常分泌上腺皮质激素 (ACTH).
- 在嗅觉神经母细胞瘤患者中异位ACTH综合征 (EAS) 的患病率,时间和触发因素不明.
研究的目的:
- 调查嗅觉神经母细胞瘤中EAS的流行率,时间和潜在触发因素.
- 审查有关与嗅觉神经母细胞瘤相关的EAS的现有文献.
主要方法:
- 从机构手术数据对15名嗅觉神经母细胞瘤患者的回顾性分析.
- 免疫组织化学评估瘤细胞中的ACTH表达.
- 关于26名EAS的其他嗅觉神经母细胞瘤患者的文献评论.
主要成果:
- 20%的机构患者患有ACTH阳性瘤细胞;13%的人患有EAS.
- 在初始嗅觉神经母细胞瘤治疗后2.5年和10年发生了EAS发作.
- 文献审查表明,EAS在初始治疗后2.5-15年开始,潜在的触发因素包括复发,进展,化疗和活检.
结论:
- 嗅觉神经母细胞瘤可以表现为EAS,患病率低但显著.
- 疾病进展,化疗和活检可能会在这些患者中引发EAS发作.
- 在初始嗅觉神经母细胞瘤治疗后很长一段时间后,EAS可能会发生,因此需要持续监测.
相关概念视频
Adrenal Gland Disorders
1.5K
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...
1.5K
Olfactory Receptors: Location and Structure
9.2K
The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
9.2K
Olfaction
44.3K
The sense of smell is achieved through the activities of the olfactory system. It starts when an airborne odorant enters the nasal cavity and reaches olfactory epithelium (OE). The OE is protected by a thin layer of mucus, which also serves the purpose of dissolving more complex compounds into simpler chemical odorants. The size of the OE and the density of sensory neurons varies among species; in humans, the OE is only about 9-10 cm2.
The olfactory receptors are embedded in the cilia of the...
The olfactory receptors are embedded in the cilia of the...
44.3K
Physiology of Smell and Olfactory Pathway
8.3K
Humans detect odors with the help of specialized cells located in the upper part of the nasal cavity, called olfactory receptor neurons (ORNs). ORNs possess hair-like structures called cilia, which are receptive to sensations from the inhaled air. When an odorant molecule binds to a specific receptor on the cell of the cilia, it leads to a series of events that ultimately cause the ORN to send electrical signals to the olfactory bulb in the brain through the olfactory nerves.
The olfactory...
The olfactory...
8.3K
Hormones of the Adrenal Glands
2.4K
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...
2.4K
Hypothalamic-Pituitary Axis
59.8K
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.
59.8K


