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OCR: patient Since a medical history indicating that edes the had suffered from a neoplasm often pre , diagnosis development of ectopic ACTH syndrom t. If, of the latter condition is not very difficu due to an however, the ectopic ACTH syndrome i of a endocrine tumour, especially in the case the carcinoid tumour, it sometimes precede s of this discovery of the neoplasm. The diagnos syndrome is confirmed by the following and observations: elevation of plasma ACTI xcretion; cortisol levels and urinary free cortisol ad urinary and failure to suppress plasma cortisol a ne free cortisol after high-dose dexamethas administration (8mg/d for two days). See also: · Diagnosis in Cushing's Syndrome