A case of bronchopulmonary carcinoid tumor: the role of octreotide scanning in localization of an ectopic source of ACTH.
BACKGROUND
Bronchopulmonary carcinoids are neuroendocrine tumors. They can present with Cushing's syndrome secondary to ectopic adrenocorticotropic hormone (ACTH) secretion. Curative resection is possible only after adequate localization of the ectopic source.


OBJECTIVE
To describe a case that illustrates the role of octreotide scanning in the management of a bronchopulmonary carcinoid.


RESULTS
The use of preoperative and postoperative octreotide scanning aided in performing a limited resection, thereby preserving the lung parenchyma.


CONCLUSIONS
We propose that octreotide scanning can be a very important and informative test in the management of carcinoid tumors. In situations when conventional imaging is not conclusive, octreotide scanning may be of help in determining the source of ectopic ACTH syndrome.
Bhatia
P D
PD
Departments of Surgery and Otolaryngology, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada.
Fung
K
K
Edmonds
M
M
Driedger
A A
AA
Malthaner
R A
RA
D000182:ACTH Syndrome, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery; D000328:Adult; D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D002276:Carcinoid Tumor / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D015282:Octreotide; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed / Q000379:methods
D015282:Octreotide