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Updated: Mar 7, 2026

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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Sphenoid sinus carcinoid tumour causing ectopic ACTH syndrome
1Department of Neurosurgery, Dunedin Public Hospital, Dunedin, New Zealand.
Summary
A sphenoid sinus tumor caused Cushing's syndrome due to excess ACTH. Surgical resection and radiotherapy were successful, with the patient showing stable intracranial remnants and normal pituitary function.
Area of Science:
- Neuroendocrinology
- Otolaryngology
- Neurosurgery
Background:
- Cushingoid facies and weight gain can indicate excess cortisol production.
- Sphenoid sinus tumors are rare but can present with complex endocrine and neurological symptoms.
- Elevated adrenocorticotropic hormone (ACTH) and cortisol levels suggest a pituitary or ectopic source.
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