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Table 1 Reported cases of ectopic adrenocorticotropin production that was suppressed by steroidogenesis inhibitorsa

From: Spontaneous adrenocorticotropic hormone (ACTH) normalisation due to tumour regression induced by metyrapone in a patient with ectopic ACTH syndrome: case report and literature review

Case

Author

Publication Year

Tumour Pathology

Drug

ACTH Suppression

ACTH levels a (pg/mL)

 

Cortisol Suppression

Cortisol levels a (μg/dL)

 

UFC Suppression

UFC levels a (μg/24 h)

 

Tumour Regression

      

Before

After

 

Before

After

 

Before

After

 

1

Beardwell [3]

1981

ND

MTP

+

450

66

+

> 72.5

6.8

NA

NA

19.9

ND

2

Beardwell [3]

1981

ND

MTP

+

98

62

+

51.5

16.6

+

366

26.2

ND

3

Steen [9]

1991

thymic carcinoid

KTZ

+ (partially)

388

120

+

> 72.5

18.9

NA

NA

NA

- (operation)

4

Loh [5]

1996

pheochromocytoma

KTZ

+ (partially)

105

78

NA

51.9

NA

+

189

3.6

- (operation)

5

Doi [4]

2003

islet cell carcinoma

octreotide or MTP

+

735

13

+

145

1.9

NA

NA

NA

- (operation)

6

Mizoguchi [6]

2007

pheochromocytoma

KTZ

+ (partially)

360 c

78

+

180 c

< 1.0 c

NA

NA

NA

- (operation)

7

Sharma [8]

2012

ND

KTZ/MTP

+

114

44

NA

NA

NA

+

455

27

ND

8

Sharma [8]

2012

ND

KTZ/MTP

+

108

7

NA

NA

NA

+

559

4

ND

9

Sakuma [7]

2016

pheochromocytoma

phentolamine/landiolol/MTP

+

995

18.4

+

85.6

< 1.0

+

1250

reduced

- (operation)

10

Our case

2018

(lung tumour) b

MTP

+

192.9

48.2

+

73.1

7.6

+

6160

35.5

+

  1. ND tumour was not detected, ACTH adrenocorticotropic hormone, UFC urinary free cortisol, KTZ ketoconazole, MTP metyrapone, NA the date was not available
  2. aACTH, cortisol and UFC before and after the initiation of steroidogenesis inhibitor
  3. btumour pathology was unknown because of the lack of tumour cells in the biopsy
  4. cas real numbers were not available in the literature, the numbers were read from the graph