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題名 | Adrenal Cancer with Hypertension But Low Plasma Renin and Aldosterone=以高血壓及低血漿腎素活性和低醛固酮濃度表現之腎上腺癌 |
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作者姓名(中文) | 鄭文儀; 張天鈞; 朱宗信; 蔡崇璋; 謝宏忠; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 98:1 1999.01[民88.01] |
頁次 | 頁73-75 |
分類號 | 415.819 |
關鍵詞 | 低血漿腎素活性; 低醛固酮; 濃度; 腎上腺癌; Adrenal cancer; Hypertension; Renin; Aldosterone; Mineralocorticoid; |
語文 | 英文(English) |
英文摘要 | Patients with malignant lesions of the adrenal gland may present with a syndrome of excess mineralocorticoids. both primary hyperaldosteronism and excess mineralocorticoids other than aldosterone resulting from adrenal carcinoma have rarely been reported. In most patients with adrenal tumors secreting mineralocorticoids other than aldosterone, distant metastasis had already occurred at the time of diagnosis and the prognosis was poor. We present a rare case of adrenal cancer with hypertension in a patient with low plasma renin activity and a low plasma aldosterone concentration. The patient's blood pressure returned to normal after removal of the tumor. The patient is still alive and without recurrence 6 years after surgery. This case illustrates the value of thorough evaluation of hypertension and prompt surgical treatment for patients with adrenal cancer. |
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