Cushing's disease surgery

Transsphenoidal Surgery for Cushing's disease


see Corticotroph adenoma medical treatment.

The surgical management of Pituitary corticotroph adenoma is often complicated by difficulties detecting the adenoma.

Various diagnostic modalities are used when conventional magnetic resonance imaging (MRI) is negative or inconclusive. Potts et al. sought to analyze the use of two such modalities in the surgical management of Cushing's disease: (1) Cavernous/Inferior petrosal sinus sampling (central venous sampling, CVS) for adrenocorticotropic hormone and (2) dynamic MRI (dMRI).


In 2002 Perrin et al., published the technical aspects and surgical strategy for removal 1).

see pituitary neuroendocrine tumor surgery.



1)
Perrin G, Stevenaert A, Jouanneau E. [Technical aspects and surgical strategy for removal of corticotroph pituitary neuroendocrine tumor]. Neurochirurgie. 2002 May;48(2-3 Pt 2):186-214. Review. French. PubMed PMID: 12058125.
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