SUN-919 Ectopic ACTH Syndrome: An Aggressive Presentation Due to Metastatic Liver Cancer of Unknown Primary
نویسندگان
چکیده
منابع مشابه
Cushing's syndrome due to an ACTH-producing primary ovarian carcinoma.
Although Cushing's syndrome has been described in association with various neuroendocrine tumors producing ectopic adrenocorticotropin (ACTH), primary ovarian carcinoma rarely causes this syndrome. We hereby report the case of a 61-year-old woman presented with abdominal distension, facial swelling and skin pigmentation. Clinical and diagnostic evaluation revealed a right ovarian tumor with hyp...
متن کاملAn Ectopic ACTH Secreting Metastatic Parotid Tumour
A 60-year old woman presented with features of Cushing's syndrome (CS) secondary to an ectopic adrenocorticotropic hormone (ACTH) secreting metastatic parotid tumour 3 years after excision of the original tumour. She subsequently developed fatal intestinal perforation and unfortunately died despite best possible medical measures. Ectopic ACTH secretion accounts for 5-10% of all patients present...
متن کاملAn unusual metastatic breast cancer presentation Report of a case
ABSTRACTWe are reporting a 43-year-old female breast cancer case with a solitary metastatic adenocarcinoma in clivus. This patient with a stage II (T1N1M0) breast cancer history has been followed for 7 years. Modified Radical Mastectomy (MRM) and 6 courses chemotherapy with CMF (Cyclophosphamide, Metotrexate, 5FU) regimen were done for her at the time of diagnosis. Also, she took tamoxifen tw...
متن کامل[Ectopic ACTH syndrome].
Cushing症 候群 は慢性的なコルチゾール過剰症であ り,放 置すると脳血管障害,糖 尿病,感 染症などで死 亡する.し たがって,適 切な診断 と治療が重要である. 表1に 示すように,ACTH依 存性Cushing症 候群 に は脳下垂体のACTH産 生腫によるGushing病 と異所 性ACTH症 候群があ り,ACTH非 依存性Cushing 症候群 には副腎原発性病変,医 原性 によるCushing症 候群がある.中 で もGushing病 と異所性ACTH症 候 群の鑑別 は治療法の選択 と関連 して重要である.我 々 が経験 した異所性ACTH症 候群を紹介する. 【症例】64歳,女 性.1993年 頃か ら顔面,下 腿の浮 腫,し びれ感 と全身の疼痛(肩 甲部,胸 部,腰 背部) を自覚するようになったため某院に入院した.糖 尿病, 高血圧,骨 粗鬆症 と診断さ...
متن کاملEctopic ACTH syndrome.
Ectopic adrenocorticotropic secretion (EAS) is responsible for 12-17% of cases of Cushing's syndrome (CS) and covers a range of tumours, from undetectable benign lesions to widespread metastases. The syndrome is often associated with severe hypercortisolaemia, which aggravates the underlying condition. EAS requires a complete workup that includes the establishment of endogenous CS, diagnosis of...
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ژورنال
عنوان ژورنال: Journal of the Endocrine Society
سال: 2020
ISSN: 2472-1972
DOI: 10.1210/jendso/bvaa046.118