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recurrence can occur after a long delay. Background Ectopic adrenocorticotrophic hormone (ACTH) secretion (EAS) is a rare cause of ACTH-dependent Cushing’s syndrome (CS), most often caused by a thoracic neuroendocrine tumor (NET) ( Frete et al
European NeuroEndocrine Tumours Society (ENETS) Lyon Center of Excellence, Lyon, France
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Institut Multi-Site de Pathologie et Biologie Moléculaire, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne Cedex, France
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Institut Multi-Site de Pathologie et Biologie Moléculaire, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne Cedex, France
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Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne Cedex, France
Fédération d’Endocrinologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron Cedex, France
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Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne Cedex, France
INSERM, UMR 1052, Lyon Cancer Research Center, Faculté Laennec, Lyon Cedex 08, France
Fédération d’Endocrinologie, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron Cedex, France
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Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne Cedex, France
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European NeuroEndocrine Tumours Society (ENETS) Lyon Center of Excellence, Lyon, France
Université de Lyon, Université Claude Bernard Lyon 1, Villeurbanne Cedex, France
INSERM, UMR 1052, Lyon Cancer Research Center, Faculté Laennec, Lyon Cedex 08, France
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consistent with Cushing’s syndrome, which was confirmed: serum cortisol level was 57.7 µg/dL (normal level 10–20 µg/dL), 24-h urine free cortisol (UFC) measurement was 27,306 µg/24 h (normal level 4.3–176 µg/24 h), and adrenocorticotropic hormone (ACTH) level
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survival in cancer improves, the negative effects of hyponatraemia on quality of life are also assumed importance. The role of ectopic secretion of the antidiuretic hormone, arginine vasopressin (AVP), in causing hyponatraemia due to the syndrome of
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Oxford NIHR Biomedical Research Centre, Oxford University Hospitals Trust, Oxford, UK
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secretion ( Hackeng et al. 2020 ). Another example of an inappropriate gain in secretory properties of PNETs is ectopic adrenocorticotrophin (ACTH)-secreting PNETs. One study reported lower pro-opiomelanocortin methylation of seven ACTH-PNETs when compared