• W Indian Med J · Sep 1999

    Case Reports

    The ectopic ACTH syndrome and superior vena cava obstruction due to a malignant carcinoid tumour of the thymus.

    • R Wright-Pascoe and E Williams.
    • Department of Medicine, University of the West Indies, Kingston, Jamaica.
    • W Indian Med J. 1999 Sep 1; 48 (3): 155-7.

    AbstractWe report the case of a 28-year-old African Caribbean woman with Cushing's syndrome and superior vena cava obstruction secondary to an ACTH-secreting carcinoid tumour of the thymus. The case highlights the problems which may be encountered in performing the 2-day high dose dexamethasone suppression test but clinicians are reminded that this test or any other dynamic test is absolutely essential for elucidating the cause of ACTH-dependent Cushing's Syndrome.

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