Adrenal
Overview
Pituitary surgery is the first-line treatment of Cushing’s disease. However, despite being in remission for months or years, approximately 20-25% may experience recurrence of the disease. The post-operative prognostic criteria for predicting prolonged remission are debatable. Furthermore, the diagnosis of Cushing's disease at an early stage of recurrence presents particular difficulties. Several therapeutic options are possible in patients not cured by surgery.
Severe Cushing’s syndrome...