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Incidental primary aldosteronism and incidental Cushing′s syndrome
Author(s): KONG Chuize, LI Zeliang, LIU Tongcai, ZHANG Mingzuo, YANG Tao, WANG Yulin, SUN Zhixi, DING Quanming
Pages: 203-
205
Year: 2001
Issue:
4
Journal: CHINESE JOURNAL OF UROLOGY
Keyword: 醛固酮增多症; 肾上腺肿瘤;
Abstract: Objective To study the diagnosis and treatment of some incidentaltumors of the adrenal gland. Methods Incidental primary aldosteronism and incidental Cushing's syndrome were reviewed and studied. Results 9 cases of incidental primary aldosteronism have been detected,5 of which demonstrated serum potassium level near the lower limit of normal range and in other 3 lower than normal.In 4 of the cases the plasma aldosterone was higher than normal and the plasma renin level was near the lower limit of normal range.Antisterone test was effective in 3.11 incidental Cushing's syndrome were detected.Serum cortisone was higher in 3 at 8 Am and in 4 at 4 Pm.In 6 cases,ACTH was slightly lower than normal or close to the lower limit of the normal range.High dose dexamethasone suppression test was undertaken in 3 with positive result in 2.Hormone supplement has been required after adrenalectomy in 4. Conclusions Primary aldosteronism and Cushing's syndrome may be incidentally detected on clinical manifestations,laboratoty findings and imaging examination.Adrenalectomy is indicated if there is autonomous hormone secretion or the tumor is larger than 2 cm in diameter or with trend of increasing in size.
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