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Medullary thyroid carcinoma with ectopic adrenocorticotropic hormone syndrome.
[cushing syndrome]
Ectopic
adrenocorticotropic
hormone
(
ACTH
)
syndrome
is
caused
most
frequently
by
a
bronchial
carcinoid
tumor
or
by
small
cell
lung
cancer
.
Medullary
thyroid
carcinoma
(
MTC
)
is
a
rare
etiology
of
ectopic
ACTH
syndrome
.
We
describe
a
case
of
Cushing
syndrome
due
to
ectopic
ACTH
production
from
MTC
in
a
48
-
year
-old
male
.
He
was
diagnosed
with
MTC
14
years
ago
and
underwent
total
thyroidectomy
,
cervical
lymph
node
dissection
and
a
series
of
metastasectomies
.
MTC
was
confirmed
by
the
pathological
examination
of
the
thyroid
and
metastatic
mediastinal
lymph
node
tissues
.
Two
years
after
his
last
surgery
,
he
developed
Cushingoid
features
,
such
as
moon
face
and
central
obesity
,
accompanied
by
uncontrolled
hypertension
and
new-onset
diabetes
.
The
laboratory
results
were
compatible
with
ectopic
ACTH
syndrome
.
A
bilateral
adrenalectomy
improved
the
clinical
and
laboratory
findings
that
were
associated
with
Cushing
syndrome
.
This
is
the
first
confirmed
case
of
ectopic
ACTH
syndrome
caused
by
MTC
in
Korea
.
Diseases
Validation
Diseases presenting
"central obesity"
symptom
adrenal incidentaloma
aromatase deficiency
cushing syndrome
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