B. Vaidya et al., ADRENOCORTICOTROPIN-SECRETING CARCINOID-TUMOR IDENTIFIED AND TREATED 12 YEARS AFTER PRESENTATION WITH CUSHINGS-SYNDROME, Postgraduate medical journal, 73(865), 1997, pp. 737-739
A case of Gushing's syndrome due to an adrenocorticotropin (ACTH) secr
eting bronchial carcinoid tumour is described. Endocrine assessment su
ggested ectopic ACTH syndrome, but imaging revealed no tumour. Bilater
al adrenalectomy was performed, and computed tomographic scans of ches
t and abdomen were performed annually. A small nodule became apparent
in the right lung 12 years after the presentation, which postoperative
ly was confirmed as the bronchial carcinoid tumour responsible for the
ectopic ACTH syndrome.