Paraneoplastic Cushing's syndrome in a 38-year-old woman due to ectopic ACTH-secreting mediastinal recurrence of a malignant ovarian teratoma occuring after 17 years of tumor-free interval

Abstract

History and admission findings: A 38-year-old woman presented with symptoms suggesting Cushing's syndrome 17 years after surgery (hysterectomy, ovarectomy, partially liver resection, right adrenalectomy) and radiatio of a mature ovarian teratoma with hepatic and peritoneal metastases. Main symptom was facial oedema and redness, initially falsely diagnosed as purulent maxilla bone infection.