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Contenido en el Idioma Espa±ol de University of Maryland Medical Center.
Carcinoma corticosuprarrenal
Nombres alternativos:
Tumor suprarrenal
SÃntomas:
Los sÃntomas que sugieren una producción elevada de cortisol son:
- Cara de luna llena : cara redonda y enrojecida con mejillas prominentes
- Obesidad
- Joroba de búfalo : joroba redondeada de grasa en la parte superior de la espalda, exactamente debajo de la nuca
- Estatura baja : crecimiento atrófico en estatura que puede ser menor al percentil cinco
- Virilización : aumento del vello corporal ( hipertricosis ) especialmente en la cara, vello púbico, acné , engrosamiento de la voz y aumento del tamaño del clÃtoris (en las niñas)
Los sÃntomas que sugieren el aumento de la producción de aldosterona son iguales a los sÃntomas de disminución del potasio (debilidad, calambres musculares, aumento de la sed y de la micción).
Signos y exámenes:
- Hipertensión
- Niveles altos de cortisol sérico
- ACTH sérica baja
- Potasio sérico bajo
- Aldosterona sérica alta
- TC abdominal
- RadiografÃa abdominal
- IRM abdominal
Referencias:
Abeloff M, Armitage J, Niederhuber J, Kastan M, McKenna WG. Clinical Oncology . 3rd ed. Philadelphia, Pa: Churchill Livingstone, 2004.
Assié G, Antoni G, Tissier F, et al. Prognostic parameters of metastatic adrenocortical carcinoma. J Clin Endocrinol Metab . January 2007;92:148-154.
Allolio B, Fassnacht M. Adrenocortical carcinoma: clinical update. J Clin Endocrinol Metab . June 1, 2006;91:2027-2037.
- Fecha de revisión: 3/13/2007
- Versión en inglés revisada por: Mark Levin, M.D., Hematologist and Oncologist, Newark, NJ. Review provided by VeriMed Healthcare Network.
- Traducción y localización realizada por: DrTango, Inc.
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