| 库欣病合并鞍区脊索瘤1例 |
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| 引用本文： | 张小倩,章诗琪,郑萍萍,夏莉,章秋,邓大同. 库欣病合并鞍区脊索瘤1例[J]. 安徽医药, 2022, 26(4): 788-790. DOI: 10.3969/j.issn.1009-6469.2022.04.033 |
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| 作者姓名： | 张小倩 章诗琪 郑萍萍 夏莉 章秋 邓大同 |
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| 作者单位： | 安徽医科大学第一附属医院内分泌科,安徽 合肥230032 |
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| 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...
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| 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 |
Cushing's disease complicated with chordoma in sellar region: a case report |
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| ZHANG Xiaoqian,ZHANG Shiqi,ZHENG Pingping,XIA Li,ZHANG Qiu,DENG Datong. Cushing's disease complicated with chordoma in sellar region: a case report[J]. Anhui Medical and Pharmaceutical Journal, 2022, 26(4): 788-790. DOI: 10.3969/j.issn.1009-6469.2022.04.033 |
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| Authors: | ZHANG Xiaoqian ZHANG Shiqi ZHENG Pingping XIA Li ZHANG Qiu DENG Datong |
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| Affiliation: | Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, China |
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| Abstract: | 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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| Keywords: | Cushing syndrome Chordoma Magnetic resonance angiography Petrosal sinus sampling Hydrocortisone Adrenocorticotropic hormone |
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