Abstract：
:Adrenocortical carcinoma (ACC) is a rare and aggressive tumor. ACC may be associated with different syndromes of hormone excess, most frequently Cushing's syndrome with or without hypersecretion of androgens. Recent data suggest that cortisol excess is a negative prognostic factor in advanced and localized ACC. Surgery with radical intent, when feasible, is the most effective treatment for ACC with hypercortisolism. Mitotane is the medical treatment of choice, both postoperatively and in inoperable or metastatic cases. Because of its slow onset of action, combination with other antisecretory agents (ie, metyrapone) is helpful to achieve more rapid and effective control of hypercortisolism.
journal_name
Endocrinol Metab Clin North Amjournal_title
Endocrinology and metabolism clinics of North Americaauthors
Puglisi S,Perotti P,Pia A,Reimondo G,Terzolo Mdoi
10.1016/j.ecl.2018.02.003subject
Has Abstractpub_date
2018-06-01 00:00:00pages
395-407issue
2eissn
0889-8529issn
1558-4410pii
S0889-8529(18)30011-2journal_volume
47pub_type
杂志文章,评审abstract：:The 3243A>G mutation in mitochondrial DNA (mtDNA) is a genetic variant that is associated with a high risk of developing diabetes during life. Enhanced aging of pancreatic beta-cells, a reduced capacity of these cells to synthesize large amounts of insulin,and a resetting of the ATP/ADP-regulated K-channel seem to be ...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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abstract：:Glucocorticoid-remediable aldosteronism (GRA) is a hereditary form of primary hyperaldosteronism and the most common monogenic cause of hypertension. A chimeric gene duplication leads to ectopic aldosterone synthase activity in the cortisol-producing zona fasciculata of the adrenal cortex, under the regulation of adre...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章
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abstract：:Pheochromocytomas cause the most dramatic life-threatening crises in all of endocrinology. Pheochromocytoma is an explosive clinical syndrome that may be characterized by either severe hypertension associated with cerebral, cardiac, and renal complications or hypotension, or even shock and sudden death. Other emergenc...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：
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abstract：:Although biotechnology has provided physicians with essentially unlimited supplies of growth hormone (GH), there are currently only a few clear-cut indications for exogenous GH therapy. Data now support the use of GH in the treatment of children with GH deficiency and short girls with Turner syndrome. Tantalizing prel...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ecl.2018.04.008
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1993-09-01 00:00:00
abstract：:Familial benign hypercalcemia, or hypocalciuric hypercalcemia, may be defined as a dominantly inherited disorder of calcium and magnesium metabolism, characterized by lifelong hypercalcemia and hypermagnesemia (both of variable degree), that usually is not associated with any symptoms, physical signs, reduced vitality...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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更新日期：2014-06-01 00:00:00
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ecl.2004.03.002
更新日期：2004-06-01 00:00:00
abstract：:Glucocorticoids are critical in the management of chronic, noninfectious, inflammatory diseases. Bone loss is a most devastating side effect of these powerful medications. Glucocorticoids produce bone loss by altering calcium metabolism, suppressing gonadal hormone production, and inhibiting bone formation. Now that t...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0889-8529(05)70017-7
更新日期：1998-06-01 00:00:00
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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更新日期：2016-03-01 00:00:00
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journal_title：Endocrinology and metabolism clinics of North America
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abstract：:This article describes the basic skills for the design, implementation, and interpretation of randomized controlled studies. Strengths and limitations of each study design are discussed. Epidemiologic issues in the analysis and interpretation of studies, such as loss to follow-up and biases, are included. Numerous cli...
journal_title：Endocrinology and metabolism clinics of North America
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journal_title：Endocrinology and metabolism clinics of North America
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journal_title：Endocrinology and metabolism clinics of North America
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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abstract：:To make a diagnosis of insulinoma, one must consider it. Neuroglycopenic symptoms are the most prominent and convincing, and the combination of hypoglycemia and endogenous hyperinsulinemia are diagnostic of insulinoma. A glucose level of approximately 40 mg/dL with a concomitant insulin level of 6 microU/mL, a C-pepti...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
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journal_title：Endocrinology and metabolism clinics of North America
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abstract：:Serum thyroglobulin measurement has greatly facilitated the clinical management of patients with differentiated thyroid cancer and a variety of other thyroid disorders. Thyroglobulin autoantibodies remain a significant obstacle to the clinical use of thyroglobulin measurement. The interpretation of any given thyroglob...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
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journal_title：Endocrinology and metabolism clinics of North America
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journal_title：Endocrinology and metabolism clinics of North America
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doi：
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abstract：:Somatostatin receptor ligands (octreotide and lanreotide) are currently first-line pharmacotherapy for patients with acromegaly in whom surgery fails to control the disease or cannot be considered. The efficacy of a new pan somatostatin receptor ligand, pasireotide, has been investigated as a potential treatment of ac...
journal_title：Endocrinology and metabolism clinics of North America
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abstract：:Insulin-dependent diabetes mellitus is associated with a growing number of immune abnormalities. At the time of clinical onset, most patients developing the disease as children or young adults have autoantibodies reactive with islet beta cells. Current autoantibody markers for IDDM are not sufficient to predict the di...
journal_title：Endocrinology and metabolism clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 00:00:00
