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After adrenalectomy for a cortisol-producing adenoma, patients should be treated with exogenous glucocorticoids such as cortisone or hydrocortisone until the hypothalamic-pituitary-adrenal (HPA) axis has recovered. This process may take 6 to 18 months after unilateral adrenalectomy.
Nelson's syndrome is a disorder that occurs in about one in four patients who have had both adrenal glands removed to treat Cushing's disease. [1] In patients with pre-existing adrenocorticotropic hormone ()-secreting pituitary adenomas, loss of adrenal feedback following bilateral adrenalectomy can trigger the rapid growth of the tumor, leading to visual symptoms (e.g. bitemporal hemianopsia ...
Hypophysectomy is the surgical removal of the hypophysis (pituitary gland). It is most commonly performed to treat tumors, especially craniopharyngioma tumors. [1] Sometimes it is used to treat Cushing's syndrome due to pituitary adenoma [2] or Simmond's disease [3] It is also applied in neurosciences (in experiments with lab animals) to understand the functioning of hypophysis.
Endocrine surgery is a surgical sub-speciality focusing on surgery of the endocrine glands, including the thyroid gland, the parathyroid glands, the adrenal glands, glands of the endocrine pancreas, and some neuroendocrine glands. [1]
Adrenalectomy is the removal of one or both adrenal glands. Aneurysmectomy is the resection or removal of an aneurysm. [1] Apicoectomy is the surgical removal of tooth's root tip. Appendectomy is the surgical removal of the appendix; it is also known as an appendicectomy. Arthrectomy is the removal of a joint of the body.
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In such cases, the next step is adrenal imaging with CT. [13] If plasma corticotropin concentrations are consistently above 3.3 pmol/L, then corticotropin-dependent Cushing's syndrome is most likely. Any intermediate values need to be cautiously interpreted and a corticotropin-releasing hormone (CRH) test is advised in order to confirm ...
It’s just after 5 a.m. on a Monday in November. Fischer, a 31-year-old construction worker, has to get from his home on the outskirts of Rapid City, South Dakota, to Fort Collins, Colorado — some 350 miles away — and he has to get there by noon. He’s wearing a Kangol hat, jeans, a T-shirt and, for warmth, a hoodie and a jacket.