Aldosterone secretion of adrenal cortical carcinoma in 1 case report.docVIP

 PAGE \* MERGEFORMAT 5 Aldosterone secretion of adrenal cortical carcinoma in 1 case report Of: Hu Zhaolei 1, Lin Yingqi 1, Wang Xiaopeng [Keywords:] aldosterone; adrenal cortical carcinoma 1 Case information Male patient, aged 36, to “burst dizziness, headache 10 years, increased 1 day” on March 26, 2006 admission. Due in June 1998 in patients with no obvious incentive to dizziness, headache, in the local hospital, blood pressure was 200/110 mmHg, blood K +2.42 mmol / L, a diagnosis of “right adrenal cortical carcinoma,” and backward “right kidney, right adrenal tumor resection +”, after blood pressure, blood K + were normal, 2002 blood pressure began to increase again in so far, not taking antihypertensive drugs, blood pressure 190/110mmHg so, no fatigue, no episodes of limp, no significant changes in the course of body weight, urine volume increased. Past medical history: the right testis sheath product Liquid History 7 years, no family history of hypertension. admission examination: supine blood pressure 195/105mmHg, pulse 70 beats / min; orthostatic blood pressure 190/105mmHg, pulse 71 times / min. body mass index (BMI) 25.4kg/m2 . superficial lymph nodes does not touch the body, not the thyroid, heart, lung without exception, abdomen soft, non-whole abdominal tenderness, rebound tenderness, erythema on the right costal arch surgery with 20cm mark, does not touch on mass, liver and spleen no time , shifting dullness (), not swollen limbs. Laboratory tests: Blood K +2.96 ~ 3.20mmol / L, 24h urinary K +21.47 mmol / L, the urine pH 7, arterial blood gas analysis. PH7.44, PCO246.5mmHg , HCO3 31.1mmol / L, SBE 6.2mmol / L. Test lying upright aldosterone: aldosterone supine 210ng / L, the upright 230ng / L; renin supine 0.41ng/ml, upright 0.73ng/ml.24h urinary free cortisol, catecholamines normal, HCG, sex hormones, thyroid hormones normal liver function, alpha-fetoprotein were normal. Abdominal CT: no abnormal left adrenal gland, right adrenal glan