Pituitary surgery in Cushing's disease: first line treatment and role of reoperation.
Cushing’s disease
Cushing’s recurrence
Cushing’s remission
Transsphenoidal
Journal
Pituitary
ISSN: 1573-7403
Titre abrégé: Pituitary
Pays: United States
ID NLM: 9814578
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
accepted:
04
07
2022
pubmed:
21
7
2022
medline:
26
10
2022
entrez:
20
7
2022
Statut:
ppublish
Résumé
Cushing's disease is the most common cause of endogenous hypercortisolemia, and transsphenoidal surgery remains the first line therapy for removal of the ACTH-secreting adenoma. While post-operative remission rates are high in experienced hands, there remains a 2% risk of recurrence per year. Patients with the highest chance for cure are those with small, non-invasive tumors that are visible on pre-operative MRI and identified during surgery and are performed by high-volume pituitary neurosurgeons. Surgery for persistent or recurrent disease is frequently indicated and is most successful in the hands of experienced surgeons and in cases where tumor is visible on MRI.
Identifiants
pubmed: 35857269
doi: 10.1007/s11102-022-01254-8
pii: 10.1007/s11102-022-01254-8
doi:
Substances chimiques
Adrenocorticotropic Hormone
9002-60-2
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
713-717Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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