Case Report
Ectopic Cushing’s Syndrome Unveiling a Metastatic Parotid Carcinoma
| Hormonal study | Initial Assessment | After 1-month follow-up | After 1-month tumour ressection | Reference values |
| Morning | ACTH | 206.8 | 422.3 | 200.7 | <63.3 ng/L | Cortisol | 30.1 | 54.7 | 4.4 | 6.2–19.4 μg/dL | Midnight | Serum cortisol | 36.2 | 36.7 | — | <7.5 μg/dL | Salivary cortisol | 4.15 | 13.4 | <0.018 | <0.32 μg/dL | | 24h-UFC | 6210.0 | 11068.2 | 14.9 | 36–137 μg/24h | | 1 mg overnight dexamethasone suppression test | 42.6 | — | — | <1.8 ug/dL |
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ACTH: adrenocorticotropic hormone; 24h-UFC: 24h-urinary free cortisol.
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