title: [A case of ACTH-producing thymic carcinoid tumor with Cushing syndrome].
abstract: ACTH-producing thymic carcinoid tumor with Cushing syndrome in a 41-year-old male was reported. Plasma ACTH and cortisol was high, and chest X-ray film and CT scan revealed a tumor mass in the anterior mediastinum. Extended thymectomy with pretracheal lymph node dissection was performed. The microscopic findings revealed that the mass was carcinoid tumor with metastasis of anterior mediastinal lymph node. ACTH and cortisol were restored to normal range 1 week after operation. Unfortunately, he admitted seven months later because of high level of ACTH and right supraclavicular lymph nodes swelling. He underwent right neck dissection. Pathological examination proved metastatic carcinoid tumors in the dissected nodes. It is important to perform supraclavicular lymph node dissection together with extended thymectomy for thymic carcinoid tumor.
authors.affiliation: Department of Surgery, Kofu City Hospital, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Nishimura
authors.forename: T
authors.initials: T
authors.lastname: Aoki
authors.forename: Y
authors.initials: Y
authors.lastname: Haba
authors.forename: K
authors.initials: K
authors.lastname: Kato
authors.forename: A
authors.initials: A
authors.lastname: Muramatsu
authors.forename: H
authors.initials: H
authors.lastname: Odajima
authors.forename: M
authors.initials: M
authors.lastname: Koyama
authors.forename: M
authors.initials: M
authors.lastname: Ito
mesh_terms: D000324:Adrenocorticotropic Hormone / Q000096:biosynthesis*; D000328:Adult; D002276:Carcinoid Tumor / Q000378:metabolism* / Q000628:therapy; D003131:Combined Modality Therapy; D003480:Cushing Syndrome / Q000209:etiology*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D013934:Thymectomy; D013953:Thymus Neoplasms / Q000378:metabolism* / Q000628:therapy
chemical_list: D000324:Adrenocorticotropic Hormone