[Occult bronchial carcinoid tumor producing ACTH simulating Cushing's syndrome].
Cushing's Syndrome raises sometimes important diagnostic and therapeutic problems. A case of Cushing's Syndrome is discussed, induced by ectopic secretion of ACTH by a Benign Bronchial Carcinoid Tumor, which due to its clinical features (asymptomatic and invisible to conventional radiology and associated with typical signs of Chronic Hypercortisolism) and biochemical findings (ACTH only slightly raised and suppression with high doses dexamethasone), simulated an hypophyseal origin, the pulmonary tumor being showed only after 3 years of the diagnosis of Cushing's Syndrome.
Herrera Pombo
J L
JL
Servicio de Endocrinología, Fundación Jiménez Díaz, Facultad de Medicina, Universidad Autónoma, Madrid.
Carrasco Bejar
M A
MA
Turbi Disla
C
C
Renedo
G
G
D000324:Adrenocorticotropic Hormone / Q000378:metabolism; D000328:Adult; D001984:Bronchial Neoplasms / Q000175:diagnosis* / Q000378:metabolism; D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000378:metabolism; D003480:Cushing Syndrome / Q000175:diagnosis* / Q000378:metabolism; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male
D000324:Adrenocorticotropic Hormone
Carcinoide bronquial oculto productor de ACTH simulando enfermedad de Cushing.