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Vol.41 No.2 contents | Japanese/English |
 | Full Text of PDF (448K) Article in Japanese |
- Case Report -
A Case of ACTH-Producing Bronchopulmonary Carcinoid Tumor With Cushing's Syndrome Resected by Video Assisted Thoracoscopic Surgery
Yoko Sato, Susumu Sasano, Masahide Murasugi, Motoki Sakuraba, Takamasa Onuki and Sumio NittaDepartment of Surgery I, Tokyo Women's Medical University
Background: Ectopic ACTH-producing tumor is a rare condition of which about 60%originate in the lung. The most common treatment for ectopic ACTH-producing tumors other than small-cell lung cancer is surgical resection. Case: A 76-year-old woman with Cushing's syndrome from 1991 was given a diagnosis of ectopic ACTH-producing tumor in 1994. In 1996, chest CT revealed a lung tumor. Further observation showed no change in the size of the tumor, but symptoms worsened. Right middle lobectomy with video-assisted thoracoscopic surgery was performed in March 2000. The lung tumor was histologically diagnosed as a typical carcinoid. After resection of the tumor, serum ACTH levels decreased immediately, and several of the symptoms of Cushing's syndrome were relieved. Conclusion: Symptoms were greatly relieved when VATS was used to operate in a case with a 10-year history of Cushing's syndrome accompanying an ectopic ACTH-producing tumor.
key words: Ectopic ACTH producing tumor, Cushing's syndrome, Carcinoid, VATS lobectomy
Received: January 12, 2001
Accepted: February 20, 2001
JJLC 41 (2): 161-164, 2001
