Karni complex is considered an autosomal dominant syndrome, it is associated with uneven pigmentation of the skin, endocrinopathy and endocrine tumors.
There is also a link between the disease and:
1. Myxoma of the skin, heart, and mammary glands.
2. Primary pigmented globular adrenocortical disease.
3. The level of growth hormones producing pituitary adenoma.
4. Testicular neoplasms.
Other neoplasms of a benign and malignant nature and conditions occur, including those found in the thyroid gland and mammary gland area, as well as hyperplasia and adenoma associated with acromegaly, regardless of growth hormone levels.
Clinical studies that are used to determine Carney's disease involve a detailed analysis of blood plasma, measurement of the erythrocyte sedimentation rate, ACTH, and a study of the level of growth hormones. In this case, echocardiography is considered as a study of choice to determine the involvement of the heart in Carney's disease. From time to time, it indicates myxomas in more than 1 zone.
With the Carney complex, medical care is limited to the treatment of endocrine hyperactivity, which usually accompanies the disease. No specific drugs are useful in managing myxoma. Surgery is necessary to remove intracardiac myxomas and to avoid embolism, stroke, or valvular obstruction.
Extracardial myxomas and benign tumors must be removed if they produce negative effects through local extensions. Huge or symptomatic skin tumors or other benign lesions should also be excised. In rare cases, malignant tumors can be resected. In such cases, it is more likely to resort to additional therapy and consultation with an oncologist.
Complications associated with Carney's disease include the following recurrent myxoma growth. It was repeated in approximately 14-23% of hereditary cases and in 2-5% of sporadic events. Patients with recurrent cardiac tumors may require another cardiac resection of the tumor. The prognosis for Carney's disease, which is often positive, depends on the tendency of recurrence of cardiac myxoma. In addition, there are cases of stroke. It happens to be an ischemic type of cerebellar stroke, which indicates the result of an embolism from the atrial myxoma. This type of stroke is described as a representation of recurrent cardiac tumors in Carney's disease. Peripheral embolization is possible, including in the coronary, renal, femoral and pulmonary arteries. برومو كود رهان مجاني 1xbet