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Ectopic Cushing’S Syndrome Due to Corticotropin Releasing Hormone Publisher Pubmed



Nakhjavani M1 ; Amirbaigloo A2 ; Rabizadeh S1 ; Rotondo F3, 4 ; Kovacs K3, 4 ; Ghazi AA5
Authors
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Authors Affiliations
  1. 1. Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Endocrinologist, Practicing in Private Office, Karaj, Iran
  3. 3. Department of Laboratory Medicine, Division of Pathology, Toronto, Canada
  4. 4. The Keenan Research Centre for Biomedical Science at the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada
  5. 5. Endocrine Research Center, Research Institute for Endocrine Sciences (RIES), Shahid Beheshti University of Medical Sciences, P.O. Box: 19395-4763, Tehran, Iran

Source: Pituitary Published:2019


Abstract

Abstract: Cushing’s syndrome (CS) secondary to corticotropin releasing hormone (CRH) producing tumors is rare. In this paper we present an Iranian patient who was admitted to our hospital with classic signs and symptoms of CS. Laboratory evaluation revealed high serum and urine cortisol which could not be suppressed with dexamethasone. Abdominal CT scan revealed a mass in abdominal cavity. A percutaneous needle biopsy was performed and histopathologic evaluation revealed that the mass was a neuroendocrine tumor. A multi-disciplinary approach including resection of the mass, bilateral adrenalectomy somatostatin analogue and chemotherapy was applied for management of the disease. Extensive review of English literature focusing on the topic from 1971 to 2018 revealed that there have been only 75 similar cases. Clinical, laboratory, imaging, histopathologic characteristics and managements of these patients will also be discussed in this paper. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.