Document Detail


Paraneoplastic Cushing syndrome because of corticotrophin-releasing hormone-secreting Wilms' tumor.
MedLine Citation:
PMID:  18970948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 4-year-old boy with cushingoid appearance and a giant mass on his left kidney was referred to our department. Left nephroureterectomy was performed, and pathologic diagnosis was focal anaplastic nephroblastoma. Based on gradual decrease of postoperative weight, blood pressure, serum adrenocorticotropic hormone, and plasma cortisol levels, paraneoplastic Cushing syndrome because of Wilms' tumor was confirmed. Moreover, through immunohistochemical staining, we confirmed that the Wilms' tumor secreted corticotropin-releasing hormone and caused Cushing syndrome.
Authors:
Jingfu Wang; Guangchao Zhang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  43     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-30     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2099-101     Citation Subset:  IM    
Affiliation:
Department of Pediatric Oncology, Tianjin Cancer Hospital, Tianjin 300060, China. wangjingfu666@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
ACTH Syndrome, Ectopic / etiology*
Adrenocorticotropic Hormone / analysis,  secretion*
Antineoplastic Combined Chemotherapy Protocols / administration & dosage,  therapeutic use
Child, Preschool
Combined Modality Therapy
Cushing Syndrome / etiology*
Dactinomycin / administration & dosage
Doxorubicin / administration & dosage
Humans
Hydrocortisone / blood
Immunoenzyme Techniques
Kidney Neoplasms / complications,  drug therapy,  radiography,  radiotherapy,  secretion*,  surgery
Male
Nephrectomy
Remission Induction
Tomography, X-Ray Computed
Vincristine / administration & dosage
Wilms Tumor / complications,  drug therapy,  radiography,  radiotherapy,  secretion*,  surgery
Chemical
Reg. No./Substance:
0/VAD regimen 2; 23214-92-8/Doxorubicin; 50-23-7/Hydrocortisone; 50-76-0/Dactinomycin; 57-22-7/Vincristine; 9002-60-2/Adrenocorticotropic Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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