Abstract

ROJO ALVARO, J. et al. Ectopic acromegaly due to a bronchial carcinoid. Anales Sis San Navarra [online]. 2013, vol.36, n.3, pp.563-567. ISSN 1137-6627.  https://dx.doi.org/10.4321/S1137-66272013000300022.

Tumours that cause ectopic acromegaly can do so through the secretion of GH or GHRH. A hundred cases of ectopic acromegaly due to secretion of GHRH have been described. Given the rarity of this pathology, we present a clinical case with the aim of contributing our diagnostic-therapeutic experience and the subsequent follow-up. We present the case of a patient with acromegaloid physical features that had evolved over several years. Concomitantly, he also presented other accompanying symptoms that suggestive of a possible bronchial origin. Facing the clinical suspicion of acromegaly, we opted to confirm it biochemically and subsequently through image study. A hypophysary origin was ruled out, so we carried out screening for a bronchial neuroendocrine and/or gastrointestinal tumor as they are the most frequent localizations. The treatment of choice was surgical resection.

Keywords : Ectopic acromegaly; GHRH ectopy; Bronchial carcinoid; Neuroendocrine tumor.

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