(内分泌系统）肾上腺疾病(2014.10八年制).ppt

2. Adrenocortical Tumors （米托坦） Small adenoma: resection by laparoscope For adrenal adenoma, cure rate 100% Malignant adrenocortical tumors: always impossible to resect completely 3. Primary bilateral micro or macronodular hyperplasia Surgical bilateral adrenolectomy (open flank or laparoscopic approach) Nelson’s Syndrome? 4. Ectopic ACTH Syndrome 酮康唑 甲吡酮 米托坦 依托咪酯 米菲司酮（糖皮质激素受体拮抗剂） 卡麦角林（多巴胺受体2激动剂） 生长抑素受体激动剂 Reference 1. Cecil Textbook of Medicine 2. Willam’s Textbook of Endocrinology 3. J Clinical Endocrinol Metab 4. Endocrine Rew 5. Endocrinol Metab North Am 内分泌性高血压病例讨论 病例