Case Report

An Ectopic ACTH Secreting Metastatic Parotid Tumour

Table 3

Dynamic tests to assess hypercortisolism.

InvestigationProcedureTiming of the testResults

Overnight dexamethasone test (ODST)1 mg dexamethasone given at midnightMeasurement of 9 am cortisol785 nmol/L
Low dose dexamethasone test (LDDST)0.5 mg dexamethasone given every six hours for 48 hoursCortisol measured after last dose of dexamethasone 577 nmol/L