病例报告:造成一次性上腺功能不全的上腺结核:通过超声波导向活检进行诊断
Tianzhen Xiong1, Rongchen Wang1, Jiaojiao Zhou1
1Division of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Frontiers in medicine
|December 8, 2025
概括
上腺结核病,一种罕见的上腺功能不充分的原因,在一个无症状的患者中被诊断出使用T-SPOT. 结核病测定和超声波导向活检. 这突出了复杂上腺病变的图像引导活检.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 上腺结核病是一种罕见的Mycobacterium结核病的肺外表现.
- 在结核流行地区,它是主要上腺功能衰竭的重要原因.
研究的目的:
- 介绍一个偶然诊断的上腺结核病病例.
- 为了突出超声导向核心针活检在诊断解剖学上具有挑战性的上腺病变的实用性.
主要方法:
- 在例行查期间偶然发现双边上腺结节与化.
- 实验室检测显示ACTH水平升高,皮质醇水平降低.
- 用超声波引导的上腺病变的核心针活检.
- 组织病理学分析和T-SPOT. 结核病测定用于诊断.
主要成果:
- 组织病理学显示发生细粒体炎症.
- 这是T-SPOT. 结核病测定证实了Mycobacterium结核病菌感染.
- 确立了上腺结核病的诊断.
结论:
- 上腺结核病可以在无症状的个体中偶然诊断出来.
- 超声导向活检是诊断上腺结核的有效方法,即使在复杂的病例中也是如此.
- 图像引导技术对于罕见的上腺疾病有价值.
相关概念视频
Pulmonary Tuberculosis III
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis IV
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Cushing Syndrome I: Introduction
Cushing syndrome refers to the collection of clinical manifestations that arise when tissues are exposed to excessive amounts of cortisol or cortisol-like medications over an extended period. Cortisol, a glucocorticoid produced by the adrenal cortex, regulates metabolism, immune responses, and the body’s adaptation to stress. When its concentration remains chronically elevated, these physiological pathways become dysregulated, resulting in the characteristic features of the syndrome.Exogenous...
Cushing Syndrome II: Pathophysiology
Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features of the...

