Roentgenologic diagnosis of primary corticotropin-producing carcinoid tumors of the mediastinum
Autor: | B A Baker, L R Brown, M R Wick, R M Salassa, G L Aughenbaugh |
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Rok vydání: | 1982 |
Předmět: |
Adult
Male endocrine system Diagnostic information medicine.medical_specialty Adolescent Carcinoid tumors Mediastinal tumor Carcinoid Tumor Cushing syndrome Adrenocorticotropic Hormone Humans Medicine Radiology Nuclear Medicine and imaging In patient Cushing Syndrome business.industry Ectopic acth Mediastinum Thymus Neoplasms Middle Aged medicine.disease medicine.anatomical_structure Female Radiology Tomography X-Ray Computed business Thymic Carcinoid Tumor |
Zdroj: | Radiology. 142:143-148 |
ISSN: | 1527-1315 0033-8419 |
Popis: | A study was undertaken of five patients with Cushing syndrome due to adrenocorticotropin (ACTH) production by thymic carcinoid tumor (primary mediastinal APUDomas), including two recent patients examined by computed tomography (CT) of the chest. Plain roentgenography of the chest initially failed to detect tumor in four of the five patients, while CT of the chest yielded definitive diagnostic information in both patients in whom it was employed. For one of these patients, a mediastinal tumor could be seen retrospectively on plain roentgenograms of the chest, although it had been missed on the first examination. One of the tumors appeared to be partially calcified on CT scan, a finding not previously reported. Blastic osseous metastasis, which is common when malignant carcinoid tumors spread to bone, was seen in one patient. Our data suggest that in patients with suspected ectopic ACTH production, CT scanning of the mediastinum should be performed early in order to avoid delay in diagnosis of an ACTH-secreting carcinoid tumor of the mediastinum. |
Databáze: | OpenAIRE |
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