Abstract | OBJECTIVES: CASE PRESENTATION: A child presented with nasal obstruction at the age of 10 months. Polypoid mass obstructing the right nasal passage was detected. Magnetic resonance imaging (MRI) showed a lesion limited within the nasal cavity. The lesion was completely removed by nasal endoscopic surgery. The pathologic examination revealed a diagnosis of esthesioneuroblastoma. It was confined to the nasal cavity so chemotherapy/ radiotherapy was not administered and began to follow up. At 28 months of age, he presented with rapid weight gain. Laboratory data were consistent with Cushing's syndrome (CS). High-dose dexamethasone suppression test and imaging studies led us to think of ectopic ACTH syndrome originated from ENB relapse. After partial resection of the tumor, ketoconazole treatment was started along with chemotherapy. Hypercortisolemia was kept under control with ketoconazole treatment as long as the treatment was maintained. CONCLUSIONS:
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Authors | Bayram Özhan, Didem Yıldırım Çakar, Gülsün Gülten, Nagihan Yalçın |
Journal | Journal of pediatric endocrinology & metabolism : JPEM
(J Pediatr Endocrinol Metab)
Vol. 36
Issue 5
Pg. 513-516
(May 25 2023)
ISSN: 2191-0251 [Electronic] Germany |
PMID | 36630599
(Publication Type: Case Reports)
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Copyright | © 2023 Walter de Gruyter GmbH, Berlin/Boston. |
Chemical References |
- Ketoconazole
- Adrenocorticotropic Hormone
- Hydrocortisone
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Topics |
- Male
- Child
- Humans
- Child, Preschool
- Infant
- Cushing Syndrome
- ACTH Syndrome, Ectopic
(complications, diagnosis)
- Esthesioneuroblastoma, Olfactory
(complications, drug therapy)
- Ketoconazole
(therapeutic use)
- Neoplasm Recurrence, Local
- Nose Neoplasms
(complications, drug therapy, pathology)
- Nasal Cavity
(pathology)
- Adrenocorticotropic Hormone
- Hydrocortisone
(therapeutic use)
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