Fernández Estívariz C, Yoldi Rodríguez M, Martínez de Icaya Ortiz de Urbina P, Juansolo Barranaechea M A, Melchor Iñíguez R, Barbosa Ayúcar C
Sección de Endocrinología, Hospital Severo Ochoa, Leganés, Madrid.
Arch Bronconeumol. 1995 Feb;31(2):86-8.
Described in this report are 2 patients with small-cell bronchogenic carcinoma with ectopic secretion of ACTH, an association that has long been reported in the literature but that is nevertheless rare, with most authors describing small series of patients or reporting retrospective studies. Pathogenic and etiological aspects are reviewed, with emphasis on the scarcity of clinical signs and the biochemical criteria needed for diagnosis. The poor prognosis of the disease is discussed along with the need to try to treat hypercortisolism even before cytotoxic therapy is initiated.
本报告描述了2例小细胞支气管肺癌伴促肾上腺皮质激素异位分泌的患者,这种关联在文献中早有报道,但仍然罕见,大多数作者描述的是小样本患者系列或报告回顾性研究。本文回顾了其发病机制和病因学方面,重点关注临床症状的稀缺性以及诊断所需的生化标准。讨论了该疾病的不良预后以及在开始细胞毒性治疗之前尝试治疗皮质醇增多症的必要性。