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[Two cases of unilateral adrenalectomy for bilateral adrenal Cushing syndrome]
Musashi Tobe1, Keiichi Ito, Shun Umeda
1Department of Urology, National Defense Medical College
Abstract:
For treatment of bilateral adrenal Cushing syndrome (CS) unilateral adrenalectomy (UAdx) is less invasive than bilateral adrenalectomy and lifetime replacement of glucocorticoids can be avoided. Laparoscopic UAdxs was performed on 2 patients with bilateral adrenal CS. In both cases, symptoms associated with CS were improved after UAdx. Although serum adrenocorticotropic hormone levels remained lower than normal after UAdxs, cortisol levels in both serum and urine have been maintained within normal ranges for more than 1 year in both cases.
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