In:
Lung Cancer Management, Future Medicine Ltd, Vol. 9, No. 4 ( 2020-12)
Abstract:
Ectopic adrenocorticotropic hormone ( ACTH) syndrome is rare and identification of its source is often challenging. We report the case of an ectopic Cushing syndrome in a young adult male secondary to an occult ACTH producing atypical carcinoid tumor. Extensive biochemical and imaging workup was unrevealing. The diagnosis was aided by Ga-DOTA PET scan demonstrating a suspicious left upper lobe lung nodule. The patient underwent video-assisted thoracoscopic exploration with wedge resection and mediastinal lymphadenectomy of a T2aN2M0 atypical carcinoid, resulting in the normalization of ACTH levels and complete resolution of symptoms. The role of a Ga-DOTA PET scan in diagnosing pulmonary carcinoid tumors and their management are discussed.
Type of Medium:
Online Resource
ISSN:
1758-1966
,
1758-1974
DOI:
10.2217/lmt-2020-0010
Language:
English
Publisher:
Future Medicine Ltd
Publication Date:
2020
detail.hit.zdb_id:
2669715-4
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