An ACTH-secreting Pituitary Adenoma Within the Sphenoid Sinus
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概要
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A 68-year-old woman developed Cushingoid features three months prior to admission. She was found to have a markedly elevated plasma ACTH-cortisol level. Magnetic resonance imaging (MRI) revealed a mass in the left sphenoidal sinus, which had become enlarged to a point where it could not be removed by transsphenoidal surgery. We decided to proceed with radiation therapy to shrink the tumor. However, it was ineffective. Despite a reduction in serum cortisol levels using metyrapone, she died of septic shock. We describe a rare case of an ACTH-secreting pituitary adenoma within the sphenoid sinus.
- 社団法人 日本内科学会の論文
著者
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Aoki Chie
Department Of Biochemistry University Of Shizuoka School Of Pharmaceutical Sciences Core Research Fo
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Hattori Yoshiyuki
Department Of Biological Science Graduate School Of Science Hiroshima University
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KASAI Kikuo
Department of Endocrinology
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Kase Hiroyuki
Department Of Astronomy School Of Science The University Of Tokyo
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Suzuki Kunihiro
Department Of Endocrinology & Metabolism Dokkyo University School Of Medicine
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Nakano Ayuko
Department Of Endocrinology And Metabolism Dokkyo University School Of Medicine
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Tomizawa Atsuko
Department Of Endocrinology And Metabolism Dokkyo University School Of Medicine
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Suzuki Kunihiro
Department of Endocrinology and Metabolism, Dokkyo University School of Medicine
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