Cirrhosis of the liver hemangioma and 1 case of right adrenal adenoma.docVIP

 PAGE \* MERGEFORMAT 5 Cirrhosis of the liver hemangioma and 1 case of right adrenal adenoma [Keywords:] Hemangioma right adrenal adenoma Case Information Patients, male, 45 years old. Hypertension 7 years, found that low potassium 2 weeks, adrenal gland and the caudate lobe occupying 1 week. The patient was 7 years ago, there was no obvious incentive to increase blood pressure and progressive, non-paroxysmal dizziness , heart palpitations, no limb weakness, back pain discomfort, usually self-serving antihypertensive drugs, blood pressure control can still travel .2 weeks ago to the altitude, altitude sickness occur, syncope evacuation to local hospitals for treatment, examination revealed low serum potassium, the lowest 3.0mmol / L, symptomatic improvement after treatment. examination: liver tap pain, no palpable abdominal mass, liver and spleen ribs no time. Laboratory tests: Blood aldosterone: 0.71nmol / L, Ang (orthostatic : 20ng / L, Ang (supine: 21ng / L, renin (standing position: 0.13ng/ml/L, renin (supine: 0.22ng/ml/L, serum cortisol (8am: 367nmol / L, serum cortisol (4pm: 188nmol / L. Imaging studies: (1B Chao, caudate lobe faintly see 27.1mm × 31.4mm hypoechoic areas, ill-defined, internal echo inequality. The right adrenal gland shows 30mm × 35mm hypoechoic areas, ill-defined, internal echo uneven. (2MRI check: T1WI caudate lobe of a size class of about 6.0 × 5.0cm round low signal, T2WI showed high signal lesions, enhanced arterial phase and portal venous phase no significant enhancement, the delay of edge enhancement. T1WI right adrenal area, see a size of about 1.0cm × 1.5cm class round low signal, T2WI lesions were slightly higher signal, enhanced no enhancement. Surgical and pathological findings: intraoperative specimens found in the general concept of the caudate lobe tumor about 5cm × 4cm, pale, light the entire capsule, no children of their weekly kitchen. Microscopic pathology showed: large proliferative lesions in the form o