A Female Patient Presented to Her Primary Care Physician with Classic

Multiple Choice

A female patient presented to her primary care physician with classic signs and symptoms of Cushing syndrome. Upon testing, it was discovered that the patient had vaginal small cell carcinoma. How can the health care providers explain her Cushing syndrome signs and symptoms to this patient?

A) "Your tumor in your vagina is secreting a hormone called adrenocorticotropic hormone (ACTH) , which is responsible for these signs and symptoms."
B) "We are going to have to run some more tests. We think you might have a problem with your pituitary gland."
C) "There is no connection between the Cushing syndrome and the vaginal carcinoma. You have two very distinct problems occurring at the same time."
D) "We need to check your thyroid. Your Cushing syndrome may be caused by hypofunction of this gland."