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

Table 2

Hormonal changes.

Hormone	Day	2	5	9	–26	57	120	214	302	382	495	713	810
Cort-S (60 min)						30	215	243	210	276	235	232	364
Cort-S (30 min)						22	179	229	168	235	204	212	312
Random cortisol		1846	1895	1868		52	141	168	25	160	149	124	141
Plasma ACTH; (0–13 pmol/L)		128	76		<1	<1	5	4	1	3	6	6	6
Treatments (per day)
Hydrocortisone; Dexamethasone

Day 19 was postoperative day 1; patient was discharged on day 26. Cort-S = cortisol levels during ACTH stimulation test. Normal stimulated cortisol levels should be >500 nmol/L when measured 60 min after intravenous administration of 0.25 mg ACTH.