Gastric adenocarcinoma associated with lymphangitis carcinomatosa, adrenal metastasis with ectopic ACTH syndrome and malignant common bile duct stricture
| Autor: | Biplab Mandal, Sanjoy Kumar Chatterjee, Debasis Sarkar, Bidyut Kumar Das, Shivesh Shankar Sahai, Pradipta Guha, Partha Sardar |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Abdominal pain Lymphangitis carcinomatosa Common Bile Duct Neoplasms Lymphangitis Adrenal Gland Neoplasms Constriction Pathologic Adenocarcinoma Gastroenterology Small-cell carcinoma Stomach Neoplasms Internal medicine medicine Humans Lung Common bile duct business.industry Stomach Middle Aged Jaundice medicine.disease digestive system diseases ACTH Syndrome Ectopic Jaundice Obstructive medicine.anatomical_structure Lymphatic Metastasis medicine.symptom business |
| Zdroj: | Arab Journal of Gastroenterology. 13:31-34 |
| ISSN: | 1687-1979 |
| DOI: | 10.1016/j.ajg.2011.07.010 |
| Popis: | Ectopic adrenocorticotrophic hormone (ACTH) syndrome (EAS) commonly occurs secondary to neuroendocrine tumours and small cell carcinoma of lung. EAS has also been reported in association with gastric carcinoids. But, the occurrence of EAS secondary to gastric adenocarcinoma has rarely been reported. A 45-year-old male patient from Bangladesh presented with abdominal pain, jaundice and hyperpigmentation. Extensive work-up revealed poorly differentiating mucin-secreting adenocarcinoma of stomach with lymphangitis carcinomatosa of lung, bilateral adrenal metastasis and malignant common bile duct (CBD) stricture. Laboratory reports were suggestive for ectopic ACTH production. Most of these features are very rare in adenocarcinoma of stomach, and all these rare events occurring in a single patient is probably the rarest. |
| Databáze: | OpenAIRE |
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