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An uncommon cause of Cushing's syndrome in a 70-year-old man.
[cushing syndrome]
Cushing
's
syndrome
due
to
exogenous
steroids
is
common
,
as
about
1
%
of
the
general
populations
use
exogenous
steroids
for
various
indications
.
Although
endogenous
Cushing
's
syndrome
due
to
ectopic
adrenocorticotropic
hormone
from
a
pancreatic
neuroendocrine
tumour
is
rare
,
a
correct
and
early
diagnosis
is
important
.
The
diagnosis
and
management
require
high
clinical
acumen
and
collaboration
between
different
specialists
.
We
report
a
case
of
ectopic
adrenocorticotropic
hormone
Cushing
's
syndrome
due
to
pancreatic
neuroendocrine
tumour
with
liver
metastasis
.
Early
recognition
by
endocrinologists
with
timely
surgical
resection
followed
by
referral
to
oncologists
led
to
a
favourable
outcome
for
the
patient
up
to
12
months
after
initial
presentation
.
Diseases
Validation
Diseases presenting
"liver metastasis"
symptom
carcinoma of the gallbladder
cholangiocarcinoma
cushing syndrome
pleomorphic liposarcoma
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