The journal of clinical endocrinology & metabolism skip to main page content home current issue past issues early release topic collections adrenal and hypertension autoimmunity calcium and bone metabolism cardiovascular endocrinology diabetes and insulin endocrine oncology female endocrinology genetics lipid male endocrinology metabolism neuroendocrinology and pituitary obesity other pediatric endocrinology thyroid for authors submit a manuscript information for authors clinical trials express for advertisers subscriptions institutions individuals journal information about the journal editorial board about the endocrine society reprints, rights, and permissions login manage e-alerts help feedback the endocrine society search for keyword: search advanced search user name password sign in home | 1959 archive | september 1959 |balls et al. 19 (9): 1134 articles functioning islet-cell carcinoma of the pancreas with cushing's syndrome k. F. daily viagra blood pressure Balls , m. viagra samples D. buy viagra online in india , j. buy generic viagra online T. L. Nicholson , m. D. buy viagra online , h. L. Goodman , m. D. And j. C. Touchstone , ph. generic viagra without prescription D. The medical and pathology departments of the bryn mawr hospital bryn mawr, pa. The department of obstetrics and gynecology, hospital of the university of pennsylvania philadelphia, pa. Abstract an unusual case of cushing's syndrome associated with a functioning isletcell carcinoma of the pancreas in a 36-year-old woman is presented. The patient had the moon facies, hypertension and striae of cushing's syndrome, with a right upper abdominal mass and an elevated 17-ketosteroid excretion of 28. 1 mg. canada generic viagra Per twenty-four hours. At operation a large mass was found, which at the time was presumed to be of right adrenal origin; local and hepatic metastases were present. Biopsy of the mass revealed poorly differentiated carcinoma. viagra buy online uk Postoperatively hypoglycemia developed and progressed in severity to the point of constant convulsions and death in spite of large amounts of glucose orally and intravenously. During this postoperative period, the urinary excretion of adrenal steroids increased markedly and the blood insulin level was five to ten times the normal value. Instead of adrenal carcinoma, marked adrenal hyperplasia was found at necropsy, associated with an islet-cell carcinoma of the pancreas. Received february 7, 1959. order viagra Copyright â© 1959 by the endocrine society previous | next article table of contents thi. low dose viagra bph