Summary
The case of a 56-year old woman with severe Cushing's syndrome due to ovarian ACTH-production is described. Both clinical picture and biochemical pattern were consistent with the ectopic ACTH syndrome. ACTH was found by specific immunohistochemical staining in a carcinoid tumor of the patient's right ovary. In contrast, pituitary cells exhibited immunoreactive ACTH to only a minimum extent.
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Abbreviations
- ACTH:
-
adrenocorticotropic hormone
- CT:
-
computerized tomography
- APUDoma:
-
tumor of amine precursor utake and decarboxylation cells
References
Asa SL, Kovacs K, Tindall GT, Barrow DL, Horvath E, Vecsei P (1984) Cushing's disease associated with an intrasellar gangliocytoma producing corticotropin-releasing factor. Ann Int Med 101:789–793
Axiotis CA, Lippes HA, Merino MJ, de Lanerolle NC, Stewart AF, Kinder B (1987) Corticotroph cell pituitary adenoma within an ovarian teratoma. Am J Surg Pathol 11:218–224
Belsky JL, Cuello B, Swanson LW, Simmons DM, Jarrett RM, Braza F (1985) Cushing's syndrome due to ectopic production of corticotropin-releasing factor. Clin Endocrinol Metab 60:496–500
Bier B, Seitz G, Weinheimer B (1988) Cushing-Syndrom — Ein Leitsymptom bei Bronchuskarzinoid. Klin Wochenschr 66:314–322
Brown WH (1928) A case of pluriglandular syndrome: “Diabetes of bearded women”. Lancet II:1022–1023
Carey RM, Varma SK, Drake CR, Thorner MO, Kovacs K, Rivier J, Vale W (1984) Ectopic secretion of corticotropin-releasing factor as a cause of Cushing's syndrome. N Engl J Med 311:13–20
Hashimoto K, Suemaru S, Hattori T, Sugawara M, Ota Z, Takata S, Hamaya K, Doi K, Chrétien M (1986) Multiple endocrine neoplasia with Cushing's syndrome due to paraganglioma producing corticotropin-releasing factor and adrenocorticotropin. Acta Endocrinologica (Copenh) 113:189–195
Jarrett L, Lacy PE, Kipnis DM (1964) Characterization by immunofluorescence of an ACTH-like substance in non-pituitary tumors from patients with hyperadrenocorticism. J Clin Endocr 24:543–549
Kley HK, Blessing MH, Nieschlag E, Wiegelmann W, Solbach HG, Krüskemper HL (1975) Virilismus bei Nebennieren-marktumor mit ektopischem ACTH-Syndrom. Klin Wochenschr 53:321–327
Klöppel G, Heitz PU (1981) Die disseminierten (diffusen) endokrinen Zellen. In: Doerr W, Seifert G (Hrsg) Spezielle pathologische Anatomie, Bd. 14. Springer, Berlin, S 1079–1135
Liddle GW, Givens JR, Nicholson WE, Island DP (1965) The ectopic ACTH-syndrome. Cancer Res 25:1057–1061
Liddle GW, Nicholson WE, Island DP, Orth DN, Abe K, Lowder SC (1969) Clinical and laboratory studies of ectopic hormonal syndromes. Rec Prog Horm Res 25:283–314
Marieb NJ, Spangler S, Kashgarian M, Heimann A, Schwartz ML, Schwartz PE (1983) Cushing's syndrome secondary to ectopic cortisol production by an ovarian carcinoma. J Clin Endocrinol Metab 57:737–740
Mason AMS, Ratcliffe JG, Buckle RM, Mason AS (1972) ACTH-secretion by bronchial carcinoid tumors. Clin Endocrinol 1:3–25
Robboy SJ, Scully RE, Norris HJ (1974) Carcinoid metastatic to the ovary. A clinicopathologic analysis of 35 cases. Cancer 33:798–811
Scully RE (1970) Recent progress in ovarian cancer. Hum Pathol 1:73–98
Talermann A (1984) Carcinoid tumors of the ovary. J Cancer Res Clin Oncol 107:125–135
Williams ED, Morales AM, Horn RC (1968) Thyroid carcinoma and Cushing's syndrome. J Clin Path 21:129–135
Yang K, Ulich T, Taylor I, Cheng L, Lewin KJ (1983) Pulmonary carcinoids. Immunohistochemical demonstration of brain-gut peptides. Cancer 52:819–823
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Schlaghecke, R., Kreuzpaintner, G., Bürrig, K.F. et al. Cushing's syndrome due to ACTH-production of an ovarian carcinoid. Klin Wochenschr 67, 640–644 (1989). https://doi.org/10.1007/BF01718148
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DOI: https://doi.org/10.1007/BF01718148