A case of virilizing adrenocortical carcinoma

A 36-year-old woman who had experienced two pregnancies consulted our hospital, because of scant menses and virilization. A 24-hour excretion of 17-ketosteroids and 17-hydroxy-corticosteroids demonstrated a decrease in 11-hydroxylase. A computed tomogram showed a huge inhomogenous tumefaction in the...

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Détails bibliographiques
Publié dans:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 33(1987), 12 vom: 09. Dez., Seite 2090-4
Auteur principal: Takiuchi, H (Auteur)
Autres auteurs: Oka, T, Namiki, M, Ichikawa, Y, Sonoda, T, Koga, M, Sato, B, Onishi, S, Nakamura, T, Matsushita, H
Format: Article
Langue:English
Publié: 1987
Accès à la collection:Hinyokika kiyo. Acta urologica Japonica
Sujets:Case Reports Journal Article 17-Hydroxycorticosteroids 17-Ketosteroids Testosterone 3XMK78S47O Dehydroepiandrosterone 459AG36T1B Adrenocorticotropic Hormone 9002-60-2
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Résumé:A 36-year-old woman who had experienced two pregnancies consulted our hospital, because of scant menses and virilization. A 24-hour excretion of 17-ketosteroids and 17-hydroxy-corticosteroids demonstrated a decrease in 11-hydroxylase. A computed tomogram showed a huge inhomogenous tumefaction in the left adrenal. Left selective renal angiography revealed a large adrenal tumefaction. Selective adrenal venous samplings revealed that testosterone and dehydroepiandrosterone (DHA) were produced in response to stimulation by 0.25 mg exogenous adrenocorticotropic hormone (ACTH). After left adrenalectomy was performed, a diagnosis of adrenocortical carcinoma was made by pathological examination. This is the first report of a patient with a virilizing adrenocortical carcinoma, which produced testosterone and DHA in response to exogenous ACTH stimulation
Description:Date Completed 07.06.1988
Date Revised 19.11.2015
published: Print
Citation Status MEDLINE
ISSN:0018-1994