title: A case report of a patient with bronchial carcinoid tumour and late presentation of Cushing's syndrome.
abstract: Bronchial carcinoid tumour with ectopic adrenocorticotrophin (ACTH) production is an uncommon cause of Cushing's syndrome. In most instances, the patient presents with clinical hyperglucocorticolism and a search for its underlying pathology leads to the discovery of an inconspicuous bronchial carcinoid tumour, if at all. Often the tumour is not immediately detectable. We report a patient who presented in the reverse order--she initially had a large asymptomatic bronchial carcinoid tumour that subsequently manifested as clinical Cushing's syndrome after remaining quiescent for four years.
authors.affiliation: Department of Endocrinology, Singapore General Hospital, Singapore.
authors.forename: S C
authors.initials: SC
authors.lastname: Lim
authors.forename: H S
authors.initials: HS
authors.lastname: Lim
authors.forename: C E
authors.initials: CE
authors.lastname: Tan
authors.forename: Z W
authors.initials: ZW
authors.lastname: Wong
authors.forename: C M
authors.initials: CM
authors.lastname: Fong
mesh_terms: D000324:Adrenocorticotropic Hormone / Q000378:metabolism*; D002276:Carcinoid Tumor / Q000150:complications* / Q000378:metabolism / Q000601:surgery; D003480:Cushing Syndrome / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000378:metabolism / Q000601:surgery; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000209:etiology*; D003074:Solitary Pulmonary Nodule / Q000150:complications / Q000378:metabolism
chemical_list: D000324:Adrenocorticotropic Hormone