嗜鉻性細胞瘤以庫欣氏症候群做為表現
呂研嫚1,錢祖明1,柯宏龍1,2 ,黃俊農1,2
1高雄醫學大學 附設中和紀念醫院 泌尿科
2高雄醫學大學 醫學系
A pheochromocytoma patient present with cushing’s syndrome
Yen-Man Lu1, Tsu-Ming Chien1, Hung-Lung Ke1,2, Chun-Nung Huang1,2
1Division of Urology,
Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
2School of Medicine,
Kaohsiung Medical University, Kaohsiung, Taiwan
Case summary:
This 33 years old woman was well being and had clean medical history according to her own statement. Although over the past five years, she was getting progressively body weight gain even under diet control. She also mentioned about the elevated blood pressure, alongside with palpitation, hand tremor and headache. In this period of time, moon face, purplish striae, face acne and central obesity were noted in the physical examination. From all the symptoms and signs as mentioned above, Cushing’ syndrome was the initial impression. Although, huge hypervascular with central necrosis adrenal tumor was noted in the image survey. After right adrenalectomy, pheochromocytoma was diagnosed by the pathologic result. Through a series of analysis, and paper review, Cushing’ syndrome, ectopic adrenalcorticotropic hormone production by pheochromocytoma induced, was our final diagnosis.