A Case of Cushing’s Syndrome due to Ectopic Adrenocorticotropic Hormone Secretion from Esthesioneuroblastoma with Long Term Follow-Up after Resection

Figure 3

Cortisol and ACTH changes before and after operation. The -axis details the day since initial admission to our hospital. Day 19 or the red line is the resection of the esthesioneuroblastoma. The left -axis is the level of plasma adrenocorticotropic hormone (ACTH (pmol/L)); the right -axis is the level of plasma cortisol (Cort-S (nmol/L)). At his outpatient follow-up, 0.25 mg ACTH stimulation tests were done in clinic with assessment of endogenous cortisol production (plasma cortisol level measured at baseline and 30 and 60 minutes after ACTH stimulation).