Lack of response to octreotide in Cushing's syndrome due to metastatic adrenocortical carcinoma.

Chan, N N; Isaacs, A J · Postgrad Med J · 1999

case_report · Level V

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Abstract

Functional metastatic adrenocortical carcinoma is an uncommon cause of Cushing's syndrome, which rarely responds to conventional treatment. A patient presenting with Cushing's syndrome secondary to adrenocortical carcinoma underwent surgical resection. Postoperatively, she developed metastatic disease resistant to conventional chemotherapy. Octreotide, a somatostatin analogue which is effective in the treatment of several types of neuroendocrine tumour, was tried to ameliorate her secretory symptoms, but without any therapeutic effect.

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