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Sclc paraneoplastic endocrine symptoms

In Apr 2014 I had retinal vein occlusion. In Aug 2014 I had an emergency appendectomy. Around June 2014 I was starting to feel tired. In DEC 2014 I noticed muscle loss and abdominal fat gain, with overall weight loss. In 2015 blood test showed high cortisol and lowish sodium. Ct chest scan was unremarkable other than a 4mm nodule noted as insignificant. I still worry about small cell lung cancer even though I understand that it is very aggressive, would it be more apparent now. Any thoughts?
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replied January 19th, 2018
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Thank you for asking at Ehealth forum!

I read your question and i understand your concern.
No,you are not suffering from small cell lung cancer.
Small cell cancer is highly aggressive disease and metastatized at time of diagnosis.
Ectopic ACTH secretion can lead to electrolyte disturbance leaving body habitus unaffected(i.e there is no moon face,buffalo hump and abdominal distension etc).
Even with treatment only 6-12 % patients survive three years in limited disease and only 2% in extensive disease.
I would like to advise you to look for other endocrinopathies and whole body scan will sort out focus for you.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
Khan
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