PET로 원발병소를 확인하였던 흉선 유암종에 의한 이소성 ACTH 증후군 1 예 = A Case of Ectopic ACTH Syndrome Caused by Thymic Carcinoid Tumor and Localized by PET

다국어 초록 (Multilingual Abstract)

Ectopic ACTH syndrome is frequently caused by lung cancer and uncommonly by other tumors such as thymic carcinoid. For its treatment, early diagnosis and complete resection is irresponsible, but some cases are remained unlocalized in spite of all diagnostic modalities. Here we report a case of ectopic ACTH syndrome which was localized by PET but could not be localized by conventional technique. A tumor at thymic area was ACTH secreting thymic carcinoid which was operated but couldnt resect completly. Glucocorticoid hypersecretion was persisted with chemotherapy, radiotherapy, and ketoconazole treatment. Patient died of sepsis after 12 months of diagnosis (J Kor Soc Endocrinol 14:771-778, 1999).