Abstract
Ectopic adrenocorticotrophic hormone (ACTH) secretion is a rare cause of Cushing syndrome in paediatric age, due to tumours arising from different tissues. To date, only 11 reports of ACTH-secreting pancreatic tumours in children and adolescents exist in the literature. We present a paediatric case of Cushing syndrome caused by ectopic ACTH secretion. This was caused by a large acinar cell carcinoma that developed in the pancreas of a 3-year-old girl.
MeSH terms
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Adrenocorticotropic Hormone / metabolism*
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Carcinoma, Acinar Cell / complications*
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Carcinoma, Acinar Cell / metabolism
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Carcinoma, Acinar Cell / pathology
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Child, Preschool
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Combined Modality Therapy
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Cushing Syndrome / etiology*
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Cushing Syndrome / metabolism*
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Cushing Syndrome / pathology
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Digestive System Surgical Procedures
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Female
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Humans
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Ketoconazole / therapeutic use
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Pancreatic Neoplasms / complications*
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Pancreatic Neoplasms / metabolism
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Pancreatic Neoplasms / pathology
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Treatment Outcome
Substances
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Adrenocorticotropic Hormone
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Ketoconazole