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女,42岁。自1983年5月开始全身肥胖、生胡须、血压高,多次在院外,未能确诊。同年12月因左下腹胀痛来我院妇科检查,发现左穹窿有拳头大小肿块,B超双肾上极未见明显肿块。剖腹探查见左侧韧带内有8×7×6cm大小实质性肿块,切除肿块和同侧附件。术后测血浆皮质醇8Am 8.0ug/dl、4Pm 6.5ug/dl,病理报告为韧带内异位肾上腺皮质腺癌。1986年11月因上述症状复发入内科。体查:血压170/100,满月脸,向心性肥胖,皮肤有紫
Female, 42 years old. Since May 1983 the body fat, beard, high blood pressure, many times in the hospital, failed to diagnose. In the same year in December due to left lower quadrant abdominal pain to our hospital gynecological examination, found the fist of the left fornix lumps, B super-kidney no significant mass on the pole. Laparotomy exploration see the left ligament 8 × 7 × 6cm size of the tumor mass, removal of the mass and ipsilateral attachment. Postoperative plasma Cortisol 8Am 8.0ug / dl, 4Pm 6.5ug / dl, the pathological report of the ectopic and adrenal adenocarcinoma of the ligament. 1986 November due to the above symptoms recurrence into the medical department. Physical examination: blood pressure 170/100, full moon face, concentric obesity, skin purple