克鲁克细胞腺瘤呈现与耐火性低血压和不受控制的高血压
Heng Yeh1, Htoo Myat Nge2, Karen Racedo Askari3
1Department of Medicine, Bassett Medical Center, Cooperstown, NY 13326, USA.
JCEM case reports
|December 22, 2025
概括
克鲁克细胞腺瘤 (CCA),一种罕见的垂体瘤亚型,可以呈现异常. 这一案例突出显示了一种微腺瘤导致严重的高皮质醇症,通过手术成功治疗.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 克鲁克细胞腺瘤 (CCA) 是一种罕见的 (<1%) 垂体瘤.
- 目前存在的CCA具有可变的临床表现,包括高皮质醇和静音宏腺瘤.
- 在手术后,CCA的复发率更高,缓解率更低.
研究的目的:
- 报告一个罕见的克鲁克细胞腺瘤病例,呈现为微腺瘤.
- 要突出CCA的异常临床表现与严重的高皮质醇症.
- 讨论这种罕见的垂体瘤亚型的管理和结果.
主要方法:
- 一个39岁的女性患有耐火性低血,高血压和糖尿病的病例报告.
- 诊断评估显示,由垂体小腺瘤引起的ACTH依赖性高皮质素贫血.
- 通过跨形方法进行手术切除,然后进行遗传病理学分析.
主要成果:
- 患者呈现出高皮质醇症的严重症状.
- 组织病理学证实了脑垂体微腺瘤与>50%的克鲁克氨酸变化 (CCA).
- 手术切除导致症状立即消失,并在20个月后持续缓解.
结论:
- 克鲁克细胞腺瘤可以呈现为微腺瘤,具有非典型的,严重的临床表现.
- 跨形切除是症状性CCA的有效治疗方法.
- 这一案例补充了关于CCA微腺瘤呈现的有限文献.
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