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Reduction of a pancreatic tumor after total removal of an ACTH secreting pituitary tumor: differential diagnosis of Cushing's syndrome.
Endocr J. 2006 Apr; 53(2):203-8.EJ

Abstract

Endocrinologic tests sometimes fail to distinguish adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma from ectopic ACTH-secreting tumor. The authors experienced a case of Cushing's disease associated with a pancreatic tumor. Venous sampling contributed to the final diagnosis of Cushing's disease in this complex case, while endocrinologic tests showed paradoxical results. A 54-year-old woman presented with Cushing's syndrome and pancreatic tumor. Magnetic resonance imaging (MRI) failed to reveal a pituitary tumor, but a gadolinium-enhanced tumor with cystic components was seen in the pancreatic tail. Results of conventional endocrinologic tests suggested ectopic ACTH syndrome, but venous sampling including cavernous sinus sampling indicated an ACTH-secreting pituitary adenoma. Transsphenoidal surgery revealed a pituitary microadenoma, and total removal of the tumor was achieved. Postoperative abdominal MRI revealed that the pancreatic tumor diminished gradually without treatment. Selective cavernous sinus sampling was useful for distinguishing ACTH-secreting pituitary adenoma from ectopic ACTH syndrome in this complex case. This was a rare case in which the pancreatic tumor diminished after total removal of the ACTH-secreting pituitary adenoma.

Authors+Show Affiliations

Department of Neurosurgery, Osaka University Graduate School of Medicine, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16618978

Citation

Hashiba, Tetsuo, et al. "Reduction of a Pancreatic Tumor After Total Removal of an ACTH Secreting Pituitary Tumor: Differential Diagnosis of Cushing's Syndrome." Endocrine Journal, vol. 53, no. 2, 2006, pp. 203-8.
Hashiba T, Saitoh Y, Asanuma N, et al. Reduction of a pancreatic tumor after total removal of an ACTH secreting pituitary tumor: differential diagnosis of Cushing's syndrome. Endocr J. 2006;53(2):203-8.
Hashiba, T., Saitoh, Y., Asanuma, N., Kouhara, H., Maruo, T., Fujinaka, T., Kasayama, S., & Yoshimine, T. (2006). Reduction of a pancreatic tumor after total removal of an ACTH secreting pituitary tumor: differential diagnosis of Cushing's syndrome. Endocrine Journal, 53(2), 203-8.
Hashiba T, et al. Reduction of a Pancreatic Tumor After Total Removal of an ACTH Secreting Pituitary Tumor: Differential Diagnosis of Cushing's Syndrome. Endocr J. 2006;53(2):203-8. PubMed PMID: 16618978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reduction of a pancreatic tumor after total removal of an ACTH secreting pituitary tumor: differential diagnosis of Cushing's syndrome. AU - Hashiba,Tetsuo, AU - Saitoh,Youichi, AU - Asanuma,Nobuyuki, AU - Kouhara,Haruhiko, AU - Maruo,Tomoyuki, AU - Fujinaka,Toshiyuki, AU - Kasayama,Soji, AU - Yoshimine,Toshiki, PY - 2006/4/19/pubmed PY - 2006/8/31/medline PY - 2006/4/19/entrez SP - 203 EP - 8 JF - Endocrine journal JO - Endocr J VL - 53 IS - 2 N2 - Endocrinologic tests sometimes fail to distinguish adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma from ectopic ACTH-secreting tumor. The authors experienced a case of Cushing's disease associated with a pancreatic tumor. Venous sampling contributed to the final diagnosis of Cushing's disease in this complex case, while endocrinologic tests showed paradoxical results. A 54-year-old woman presented with Cushing's syndrome and pancreatic tumor. Magnetic resonance imaging (MRI) failed to reveal a pituitary tumor, but a gadolinium-enhanced tumor with cystic components was seen in the pancreatic tail. Results of conventional endocrinologic tests suggested ectopic ACTH syndrome, but venous sampling including cavernous sinus sampling indicated an ACTH-secreting pituitary adenoma. Transsphenoidal surgery revealed a pituitary microadenoma, and total removal of the tumor was achieved. Postoperative abdominal MRI revealed that the pancreatic tumor diminished gradually without treatment. Selective cavernous sinus sampling was useful for distinguishing ACTH-secreting pituitary adenoma from ectopic ACTH syndrome in this complex case. This was a rare case in which the pancreatic tumor diminished after total removal of the ACTH-secreting pituitary adenoma. SN - 0918-8959 UR - https://www.unboundmedicine.com/medline/citation/16618978/Reduction_of_a_pancreatic_tumor_after_total_removal_of_an_ACTH_secreting_pituitary_tumor:_differential_diagnosis_of_Cushing's_syndrome_ L2 - https://joi.jlc.jst.go.jp/JST.JSTAGE/endocrj/53.203?from=PubMed DB - PRIME DP - Unbound Medicine ER -