副腎癌による Cushing 症候群の1例 : とくにその電顕像について

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A 41-year-old male was admitted with complaints of back ache and easy fatigability. Blood pressure was 150/60. Central obesity and buffalo hump were observed. Urinary 17-OHCS and 17-KS were increased. Endocrinological and roentgenological studies suggested left adrenal cortical cancer. Lef adrenalectomy with para-aortic lymph node dissection was performed on October 19, 1977. The tumor was removed together with left kidney. It measured12.5×18.O×7.5cm and weighed l,1909. Postoperatively the patient improved temporarily. Metastases to lung and liver, however, developed and he died four months after the operation. Electron microscopic examination of the tumor revealed poorly developed smooth surfaced endoplasmic reticuli and decreased number of mitochondria with sparse short tubular cristae.
社団法人日本泌尿器科学会の論文