Journal of Korean Endocrine Society 2004;19(1):76-81.
Published online February 1, 2004.
A Case of Ectopic ACTH Syndrome Associated with Bronchial Carcinoid.
Young Jin Choi, Sang hyen Joo, Sun Hye Shin, Ok Nyu Kong, Jun Hyeop An, Young Dae Kim, Seok Man Son, In Joo Kim, Yong Ki Kim
1Department of Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea.
2Department of Thoracic and cardiovascular Surgery, College of Medicine, Pusan National University, Pusan, Korea.
Abstract
Fifteen percent of patients with Cushing's syndrome could be accompanied with nonpituitary tumors that secrets ACTH-the ectopic ACTH syndrome. Among them, bronchial carcinoid is one of the rare causes of the ectopic ACTH syndrome. We experienced a 60-year-old woman who showed conditions of weight gain, generalized edema, hypokalemia, diabetes mellitus, and right middle lung mass. Histologically, the tumor was diagnosed with bronchial carcinoid and was confirmed as an ectopic ACTH syndrome through immunohistochemical staining of ACTH. After resection of the lung mass, blood sugar, electrolytes, generalized weakness, and blood pressure improved.
Key Words: Bronchial carcinoid, Ectopic Cushing syndrome


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