LUNG CARCINOID WITH CUSHING'S SYNDROME: CONTROL OF SERUM ACTH AND CORTISOL LEVELS USING SMS 201–995 (SANDOSTATIN)

Abstract
Two patients with Cushing's syndrome due to lung carcinoid tumours were given the long‐acting somatostatin analogue SMS 201–995 (Sandostatin). One received a single 50 μg dose which produced a 50% reduction in circulating ACTH levels within 4 h. The other has been maintained in clinical and biochemical remission for 10 weeks on 100 μg tid. This is the first report of the successful use of SMS 201–995 in carcinoid‐induced Cushing's syndrome, and suggests that this hormone analogue could be valuable in the long term medical management of such patients.