Ectopic hormonal production: Nursing implications

Ectopic hormone production describes a classification of syndromes in which hormone-like substances are produced not by normal parent tissue but by tumor. These ectopically produced hormones are probably the result of gene derepression that corresponds with the neoplastic process. Since their elaboration is controlled by tumor, they do not respond to normal negative feedback mechanisms. The resultant elevation of hormone manifests in clinical and/or laboratory findings.

Medical care is aimed at treating the underlying tumor and controlling the fluid and electrolyte problems. Nursing care emphasizes increased observation of physical changes; promoting return of normal body homeostasis; providing physical and emotional support; and teaching the patient and family to recognize the syndromes and how to care for the patient themselves.