[Two case reports of unilateral adrenal hyperplasia with contralateral renal cell carcinoma].
[Two case reports of unilateral adrenal hyperplasia with contralateral renal cell carcinoma].
复制标题
单侧肾上腺增生伴对侧肾细胞癌二例[J].
DOI：
10.5980/jpnjurol1989.91.565
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
T. Suzuki
中科院分区：
文献类型：
--
作者：
S. Kudoh;T. Kawaguchi;T. Suzuki
我们报告两例单侧肾上腺皮质增生症合并对侧肾细胞癌。第一个病例是一位66岁的男性，右肾肿块，来我院学习。虽然没有主要症状，但血压一直高于正常水平。发现低钾血症、低血浆肾素活性和高血浆醛固酮水平。CT显示他有一个右肾肿块和一个左肾上腺肿瘤。术前诊断为右肾肿瘤和左肾上腺腺瘤引起的原发性醛固酮增多症。第二个病例是一名59岁的男性，右肾肿块，他也来我院学习。他还患有左肾上腺肿瘤，但他的血压正常，血清激素分析显示肾上腺皮质功能正常。术前诊断为右肾肿瘤和无功能性左肾上腺腺瘤。2例患者行右肾根治性切除和对侧肾上腺切除术。病理诊断为右侧肾细胞癌和左侧肾上腺皮质增生。1例患者临床表现为原发性醛固酮增多症，另1例无临床症状。这些患者是罕见的单侧肾上腺增生病例。
We report two cases of unilateral adrenal hyperplasia with contralateral renal cell carcinoma. First case was a 66-year-old man with right renal mass who came to our hospital for study. Although no major symptoms were complained, blood pressure was consistently above normal. Hypokalemia, low plasma renin activity and high plasma aldosterone level were detected. CT revealed that he had a right renal mass and a left adrenal tumor. Preoperative diagnosis was right renal tumor and primary aldosteronism due to left adrenal adenoma. Second case was a 59-year-old man with right renal mass who also came to our hospital for study. He also had a left adrenal tumor, however his blood pressure was normal and serum hormonal analysis showed normal adrenal cortical function. Preoperative diagnosis was right renal tumor and non-functional left adrenal adenoma. Two patients were performed right radical nephrectomy with contralateral adrenarectomy. Pathological diagnosis were right renal cell carcinoma and left adrenocortical hyperplasia. One Patient clinically showed primary aldosteronism and the other had no clinical symptoms. These patients were rare cases with unilateral adrenal hyperplasia.