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  • Title: A case report of a patient with bronchial carcinoid tumour and late presentation of Cushing's syndrome.
    Author: Lim SC, Lim HS, Tan CE, Wong ZW, Fong CM.
    Journal: Ann Acad Med Singap; 1998 Mar; 27(2):272-6. PubMed ID: 9663325.
    Abstract:
    Bronchial carcinoid tumour with ectopic adrenocorticotrophin (ACTH) production is an uncommon cause of Cushing's syndrome. In most instances, the patient presents with clinical hyperglucocorticolism and a search for its underlying pathology leads to the discovery of an inconspicuous bronchial carcinoid tumour, if at all. Often the tumour is not immediately detectable. We report a patient who presented in the reverse order--she initially had a large asymptomatic bronchial carcinoid tumour that subsequently manifested as clinical Cushing's syndrome after remaining quiescent for four years.
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