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带有广泛斑纹的上皮上腺癌:一个病例报告和文献综述
Ayse Ozden1, Zerrin Orbak1, Ebru Sener2
1Department of Pediatric Endocrinology, Atatürk University School of Medicine, Erzurum, Turkey.
Indian journal of cancer
|March 9, 2026
概括
这项案例研究突出显示了一种罕见的儿科上腺皮质癌,呈现出广泛的纹,但最小的病毒化或Cushingoid症状. 这种侵袭性瘤在诊断后9个月内导致转移和死亡.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 在瘤学瘤学.
背景情况:
- 脑上皮层瘤在儿童中很少见,病毒化是最常见的症状.
- 大约5.5%的儿科上腺皮质瘤存在单独的库辛综合征.
- 这种病例在儿科患者身上呈现出独特的临床表现.
研究的目的:
- 报告一个罕见的儿科上腺皮层癌症病例.
- 描述没有显著的病毒化或Cushingoid特征的广泛纹的不寻常呈现.
- 为了强调青少年晚期上腺皮癌的攻击性和不良预后.
主要方法:
- 一个15岁的女性的案例报告.
- 临床检查,包括评估纹,和缺血症.
- 测量上腺皮质激素和皮质醇水平的荷尔蒙研究.
- 上腺磁共振成像 (MRI) 用于识别上腺质量和转移.
主要成果:
- 患者呈现了广泛的斑纹,和异常.
- 荷尔蒙分析显示抑制的上腺皮质激素和高的皮质醇,表明过高皮质醇.
- 上腺MRI检测出一个大的右上腺质量 (9厘米) 上腺转移,诊断4期上腺皮质癌.
- 患者经历了激烈的临床过程,在诊断后9个月屈服于疾病.
结论:
- 儿科上腺皮质癌可能会出现不典型的症状,例如没有明显的病毒化或Cushingoid特征的突出纹.
- 儿科患者有广泛的纹需要对潜在的上腺病理进行彻底的调查.
- 青少年4期上腺皮质癌预后不佳,需要及时诊断和积极管理.
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