Rebound thymic hyperplasia after treatment of Cushing's syndrome

J. L. Doppman, E. H. Oldfield, G. P. Chrousos, L. Nieman, R. Udelsman, G. B. Cutler, D. L. Loriaux

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Rebound thymic hyperplasia has been described in children and young adults after recovery from stress. Similar thymic enlargement has been observed in patients after remission of Cushing's syndrome. In one patient successfully treated for ectopic adrenocorticotropic hormone (ACTH) syndrome by resection of a bronchial carcinoid with a hilar metastasis, the postoperative enlarging mediastinal mass suggested recurrent tumor. In another patient treated for an undetected ectopic ACTH source by a cortisol antagonist, the enlarging thymus could be confused with a thymic carcinoid. The typical thymic appearance on CT and the chronologic relation to declining cortisol levels should prevent such diagnostic errors.

Original languageEnglish (US)
Pages (from-to)1145-1147
Number of pages3
JournalAmerican Journal of Roentgenology
Volume147
Issue number6
DOIs
StatePublished - Jan 1 1986

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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