A case of bronchopulmonary carcinoid tumor: The role of octreotide scanning in localization of an ectopic source of ACTH

BACKGROUND Bronchopulmonary carcinoids are neuroendocrine tumors. They can present with Cushing's syndrome secondary to ectopic adrenocorticotropic hormone (ACTH) secretion. Curative resection is possible only after adequate localization of the ectopic source. OBJECTIVE To describe a case that...

Full description

Saved in:
Bibliographic Details
Published in:Journal of hospital medicine 2006-09, Vol.1 (5), p.312-316
Main Authors: Bhatia, P. D., Fung, K., Edmonds, M., Driedger, A. A., Malthaner, R. A.
Format: Article
Language:English
Subjects:
ACTH Syndrome, Ectopic - diagnostic imaging
ACTH Syndrome, Ectopic - surgery
Adult
Bronchial Neoplasms - diagnostic imaging
Bronchial Neoplasms - surgery
carcinoid
Carcinoid Tumor - diagnostic imaging
Carcinoid Tumor - surgery
ectopic ACTH
Humans
Male
Octreotide
octreotide scanning
Radionuclide Imaging
Tomography, X-Ray Computed - methods
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:BACKGROUND Bronchopulmonary carcinoids are neuroendocrine tumors. They can present with Cushing's syndrome secondary to ectopic adrenocorticotropic hormone (ACTH) secretion. Curative resection is possible only after adequate localization of the ectopic source. OBJECTIVE To describe a case that illustrates the role of octreotide scanning in the management of a bronchopulmonary carcinoid. RESULTS The use of preoperative and postoperative octreotide scanning aided in performing a limited resection, thereby preserving the lung parenchyma. CONCLUSIONS We propose that octreotide scanning can be a very important and informative test in the management of carcinoid tumors. In situations when conventional imaging is not conclusive, octreotide scanning may be of help in determining the source of ectopic ACTH syndrome. Journal of Hospital Medicine 2006;1:312–316. © 2006 Society of Hospital Medicine.
ISSN:1553-5592
1553-5606
DOI:10.1002/jhm.121