| 张小倩,章诗琪,郑萍萍,等.库欣病合并鞍区脊索瘤 1例[J].安徽医药,2022,26(4):788-790. |
| 库欣病合并鞍区脊索瘤 1例 |
| Cushing's disease complicated with chordoma in sellar region: a case report |
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| DOI：10.3969/j.issn.1009-6469.2022.04.033 |
| 中文关键词: 库欣综合征 脊索瘤 磁共振血管造影术 岩下窦取样 氢化可的松 促肾上腺皮质激素 |
| 英文关键词: Cushing syndrome Chordoma Magnetic resonance angiography Petrosal sinus sampling Hydrocortisone Adrenocorticotropic hormone |
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| 中文摘要: |
| 目的探讨促肾上腺皮质激素( ACTH)依赖性皮质醇增多症病人的诊断方法。方法报告 1例库欣病合并鞍区脊索瘤的病例，并进行相关文献分析。结果对于 ACTH依赖性皮质醇增多症病人的诊断，大剂量地塞米松抑制试验及垂体增强 MRI不能明确定位时，垂体动态增强 MRI及岩下窦采血可帮助进行定位诊断。结论垂体动态增强 MRI及岩下窦采血对于库欣病病人的定位诊断有一定价值。 |
| 英文摘要: |
| Objective To investigate the diagnostic methods of patients with adrenocorticotropic hormone (ACTH) dependent hyper cortisolism.Methods A case of Cushing's disease complicated with sellaring chordoma was reported, and the relevant literature was analyzed.Results For the diagnosis of patients with ACTH-dependent hypercortisolism, when the localization diagnosis could not be clearly made through high-dose dexamethasone inhibition test and pituitary enhancement MRI, pituitary dynamic enhancement MRIand bilateral inferior petrosal sinus sampling could help to diagnose localization.Conclusion Pituitary dynamic enhancement MRIand bilateral inferior petrosal sinus sampling have certain value for the localization diagnosis of patients with Cushing's disease. |
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