Metastatic pancreatic neuroendocrine tumor with ectopic adrenocorticotropic hormone production.
We describe a 71-year-old man who presented with abdominal pain, lower-extremity edema, recent unintentional weight loss, hypertension, hyperglycemia, hypokalemia, and metabolic alkalosis. Serum cortisol levels remained elevated after overnight high-dose dexamethasone suppression. Magnetic resonance...
| Publicado en: | Baylor University Medical Center Proceedings Vol. 28; no. 1; pp. 46 - 50 |
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| Autores principales: | , , , , , , , |
| Formato: | case study diagnostic images pictorial tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=100269879&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 100269879 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08998280 1XEP jtl: Baylor University Medical Center Proceedings issn: 08998280 maglogo: N pubinfo: dt: Jan2015 vid: 28 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 100269879 103868159 103868159 10.1080/08998280.2015.11929184 100269879 ppf: 46 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Metastatic pancreatic neuroendocrine tumor with ectopic adrenocorticotropic hormone production. aug: au: Vaduganathan, Muthiah Nagarur, Amulya Kerr, Darcy A. Lauter, Kelly B. Padmanabhan, Arun Raghavan, Srivatsan Pallais, Juan C. Fenves, Andrew Z. affil: Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts sug: subj: Neuroendocrine Tumors Diagnosis Pancreatic Neoplasms Diagnosis Neoplasm Metastasis Diagnosis Adrenocorticotropic Hormone Neuroendocrine Tumors Therapy Neuroendocrine Tumors Surgery Aged Male Abdominal Pain Etiology Edema Etiology Alkalosis Etiology Magnetic Resonance Imaging Biopsy Chemoembolization, Therapeutic Adrenalectomy Neuroendocrine Tumors Mortality Postoperative Complications Aged: 65+ years Male ab: We describe a 71-year-old man who presented with abdominal pain, lower-extremity edema, recent unintentional weight loss, hypertension, hyperglycemia, hypokalemia, and metabolic alkalosis. Serum cortisol levels remained elevated after overnight high-dose dexamethasone suppression. Magnetic resonance imaging revealed a small mass in the head of the pancreas with scattered liver metastases. Both endoscopic ultrasound-guided pancreatic biopsy and liver biopsy revealed a welldifferentiated neuroendocrine tumor. These lesions did not show significant uptake on octreotide scan. Medical management and hepatic artery chemoembolization were attempted. Ultimately, the patient underwent bilateral adrenalectomy, but died within 4 months of symptom onset secondary to postoperative complications. pubtype: Academic Journal doctype: case study diagnostic images pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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