Adrenal myelolipoma with hyperandrogenemia and schizophrenia.

Adrenal myelolipoma with hyperandrogenemia and schizophrenia.
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肾上腺髓脂肪瘤伴高雄激素血症和精神分裂症

DOI:
10.2147/cmar.s145332
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发表时间:
2018
影响因子:
3.3
通讯作者:
Liu C
Liu C
中科院分区:
医学4区
文献类型:
--
作者:
Liu N;Zhang W;Tan J;Zhou J;Yu X;Ren N;Fang Z;Jiao W;Fan Y;Liu C

文献摘要

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肾上腺骨髓脂肪瘤合并高雄激素血症是非常罕见的。我们报告一例26岁中国女性精神分裂症,谁提出了一个活跃的肿瘤引起高雄激素血症。该肿块是在她因继发性闭经而接受妇科检查时由计算机断层扫描发现的,经组织病理学检查证实为肾上腺髓性脂肪瘤。她被转诊为左肾上腺腹腔镜切除术,发现肾上腺骨髓脂肪瘤的大小超过10厘米。我们报告这个病例是因为大的肾上腺骨髓脂肪瘤合并高雄激素血症和精神分裂症是罕见的,肾上腺骨髓脂肪瘤合并高雄激素血症可能是由参与激素产生的酶决定的。
Adrenal myelolipoma with hyperandrogenemia is extremely rare. We report a case of a 26-year-old Chinese female with schizophrenia, who presented with a hormonally active tumor causing hyperandrogenemia. The mass was found by computerized tomography when she had her gynecologic examination for secondary amenorrhea, and it was confirmed to be an adrenal myelolipoma after a histopathological study. She was referred for a left adrenal laparoscopic excision, and the size of adrenal myelolipoma was found to be more than 10 cm. We report this case because large adrenal myelolipomas with hyperandrogenemia and schizophrenia are rare, and adrenal myelolipoma associated with hyperandrogenemia might be determined by the enzymes involved in the production of hormones.