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Postgraduate Medical Journal 2005;81:e17; doi:10.1136/pgmj.2005.036889
Copyright © 2005 The Fellowship of Postgraduate Medicine

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CASE REPORT

Is the paraneoplastic syndrome of inappropriate antidiuretic hormone secretion in lung cancer always attributable to the small cell variety?

L M Tho 1, D R Ferry 2

1 Beatson Oncology Centre, Glasgow, UK
2 New Cross Hospital, Wolverhampton, UK

Correspondence to:
Correspondence to:
Dr L M Tho
Beatson Oncology Centre, Glasgow G11 6NT, UK; lyemuntho{at}hotmail.com

The syndrome of inappropriate antidiuretic hormone (SIADH) secretion is a well recognised paraneoplastic phenomenon and the vast majority are associated with small cell lung carcinoma. Rarely however, the non-small cell variety can sometimes be responsible and this report describes such an occurrence. Uniquely in this case, after chemotherapy the paraneoplastic SIADH improved in parallel with a tumour response and this has not been reported previously.


Abbreviations: SIADH, syndrome of inappropriate antidiuretic hormone secretion; NSCLC, non-small cell lung carcinoma; SCLC, small cell lung carcinoma

Keywords: syndrome of inappropriate antidiuretic hormone secretion; paraneoplastic; non-small cell lung carcinoma







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