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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Metachronous bilateral adrenocortical functional adenomas causing adrenocorticotropic hormone-independent Cushing's
Kang Cheng1, Wanli Cao1, Jun Dai1
1Department of Urology, Ruijin Hospital, University of Shanghai Jiaotong School of Medicine Shanghai, China.
Abstract:
Metachronous bilateral adrenocortical adenomas causing adrenocorticotropic hormone-independent Cushing's syndrome is a surgical case that scarcely occurs. A 38-year-old woman diagnosed with bilateral adrenocortical adenomas one by one in 2006 and 2013. Both of the two adenomas were functional and caused typical Cushingoid symptoms. The patient underwent a laparoscopic adrenolectomy in 2006 and a laparoscopic adrenocortical adenoma resection in 2013. After surgery, the symptoms of Cushing's syndrome withdrew and the woman started steroid replacement therapy as a following treatment.
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