Adult Case of Acute Hepatitis Associated with Primary Cytomegalovirus Infection in Remission Phase of Crohn's Disease

Article信州医学雑誌 69(3) : 127-133(2021)departmental bulletin pape

(第12回研修医症例報告会)副腎皮質癌と鑑別を要し,胃原発神経鞘腫に類似した組織像を持つ後腹膜神経鞘腫の1例

第357回東京女子医科大学学会例会 平成30年2月24日(土) 総合外来センター5階大会議

A Case of Liver Metastasis in Primary Renal Cell Carcinoma Diagnosed by Hepatectomy after 9 Years of Follow-up of Cystic Liver Lesion

Article信州医学雑誌 69(4) : 209-215(2021)departmental bulletin pape

A case of pre-Cushing's syndrome

A 66-year-old female was admitted to Chiba University Hospital for the evaluation of a left adrenal mass which was incidentally discovered by computerized tomography. The patient had no clinical signs of Cushing's syndrome. Although the plasma ACTH level was suppressed, serum cortisol and urinary 17-OHCS levels were normal. Serum cortisol was not suppressed by dexamethasone and loss of diurnal rhythm of cortisol was observed. Uptake of 131I-aldosterone in the left adrenal gland was noted, but no accumulation was observed in the right one. Left adrenalectomy was performed. The tumor resected was 20 x 22 x 26 mm in size. Pathological diagnosis was adreno-cortical adenoma. Whether slight abnormality of adrenocortical function without clinical symptoms observed in the present case would develop into a clinically typical Cushing's syndrome remains to be solved