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  Vol. 109 No. 2, Feb 1962 TABLE OF CONTENTS
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Carcinoid Syndrome Associated with Adrenal Hyperplasia

RICHARD B. DAVIS, M.D.; B. J. KENNEDY, M.D.

Arch Intern Med. 1962;109(2):192-200.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

It is now recognized that there is considerable variation in the clinical manifestations,1,2 the origin, and character of metastatic carcinoid tumors. A malabsorption syndrome3 and scleroderma4 may accompany the carcinoid syndrome. This syndrome may be produced by bronchial carcinoids with metastases,5-8 oat-cell carcinoma,9 argentaffinoma of the lung without hepatic metastases,10 and pancreatic carcinoma with demonstrated 5-hydroxytryptophan decarboxylase activity.11 The syndrome is apparent in only 20% of patients with carcinoid tumors and hepatic metastases12 and may rarely be associated with normal levels of 5-hydroxyindoleacetic acid (5-HIAA) excretion in the urine.13,14

The possible association of carcinoid syndrome and Cushing's syndrome has been suggested by the report of Harrison15 of a patient with bronchial carcinoma and clinical features of adrenal hyperplasia. In their patient 17-ketosteroid excretion was normal and 5-HIAA excretion in the urine was moderately increased as shown by paper chromatography. . . . [Full Text PDF of this Article]


Author Affiliations

MINNEAPOLIS

From the Department of Medicine, University of Minnesota Medical School and University Hospitals: Instructor (Dr. Davis); Associate Professor of Medicine (Dr. Kennedy).


Footnotes

Submitted for publication Jan. 14, 1961.

This investigation was supported by a research grant (CY 3143) from the National Cancer Institute of the National Institutes of Health and by the Minnesota Division of the American Cancer Society.



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