He has lost 15 kg in the past 4 months, though his abdomen seems more prominent with striae over the abdominal skin. He had a recent episode of hemoptysis. A sputum cytology demonstrates malignant cells present consistent with small cell anaplastic carcinoma. 60 A 63 year old male who is 165 cm tall and weighs 90 kg has a history of type II diabetes mellitus. A 40 year old male suffers from an almost constant headache for the past few weeks which leads him to see his physician.
Physical examination reveals a bitemporal hemianopsia.
Truncal obesity, muscular weakness, vertebral compressed fractures, hypertension, and hirsutism are all present in a 48 year old female. She is taking no medications. The cytopathologist next performs a fine needle aspirate. Following this procedure, a thyroidectomy is performed. There is a 2 cm diameter mass that is firm and light brown.