原发性醛固酮增多症合并肾癌文献复习  

Literature Review of Primary Aldosteronism Complicated With Renal Cancer

作　　者：黄正科[1] 黄振华[2] 曾庆理[2] 徐嘉[2] 刘志豪[2] 肖孝勇 叶子[2] 蒋鹏[2] 廖瑾莉[2] 詹红[2] 

机构地区：[1]中山大学附属第一医院惠亚医院急诊科,516081 [2]中山大学附属第一医院急诊科

出　　处：《岭南急诊医学杂志》2017年第5期455-458,共4页Lingnan Journal of Emergency Medicine

基　　金：广东省医学科学技术研究基金(B2014110);广东省科技计划项目(2014A020212150)

摘　　要：目的:探讨原发性醛固酮增多症合并肾癌的临床特征、诊断思路与治疗方案,以提高临床医师对此病的认识及诊治能力。方法:观察1例原发性醛固酮增多症合并肾癌的临床特征及诊治过程,结合国内外相关病例的临床特点,总结并复习相关文献。结果:6例患者均行手术治疗,5例患者术后血压及血钾水平均恢复至正常范围,1例单纯肾癌根治术的患者术后血压波动于135-145/80-90 mm Hg。结论:原发性醛固酮增多症合并肾癌比较少见,可借助影像学及实验检查进行鉴别诊断,病理检查可以明确诊断,治疗上建议手术治疗。Objective：To investigate the clinical features,diagnosis and treatment of primary aldosteronism with renal cancer,and improve clinical doctors＇ awareness towards this disease.Methods：Observed the clinical features and review the related literature of a case about primary aldosteronism with renal cancer.Results：All patients were treated by surgery,5 cases＇ blood pressure and serum potassium were restored to normal range after surgery.Only one case blood pressure maintained 135-145/80-90 mm Hg after radical nephrectomy.Conclusion：Primary aldosteronism with renal cancer is rare.Differential diagnosis could be performed by imaging and laboratory results,and could be further confirmed using pathological examination.The proposed treatments were radical nephrectomy and/or adrenalectomy.

关 键 词：原发性醛固酮增多症 肾癌 诊断 治疗 

分 类 号：R586.24[医药卫生—内分泌]