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Cushing's disease.

D C Aron1, J W Findling, J B Tyrrell

  • 1Case Western Reserve University, Cleveland, Ohio.

Endocrinology and Metabolism Clinics of North America
|September 1, 1987
PubMed
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Cushing's disease, caused by excess pituitary ACTH, affects women and requires documenting hypercortisolism for diagnosis. Transsphenoidal surgery is the primary treatment for these pituitary adenomas.

Area of Science:

  • Endocrinology
  • Oncology
  • Neurosurgery

Background:

  • Cushing's disease is a subtype of Cushing's syndrome characterized by persistent, inappropriate hypercortisolism.
  • It stems from the pituitary gland overproducing ACTH, accounting for 70% of adult Cushing's syndrome cases.
  • The condition predominantly affects women of childbearing age.

Purpose of the Study:

  • To discuss the pathology, etiology, and clinical and laboratory features of Cushing's disease.
  • To outline the diagnostic process for Cushing's disease.
  • To review treatment options for Cushing's disease.

Main Methods:

  • Review of pathology, causes, and clinical/laboratory features.
  • Diagnostic criteria for endogenous hypercortisolism.

Related Experiment Videos

  • Surgical, radiotherapeutic, and medical treatment modalities.
  • Main Results:

    • Diagnosis involves documenting hypercortisolism and identifying the cause.
    • Selective transsphenoidal resection of pituitary adenomas is the preferred initial treatment.
    • Radiotherapy and medical therapies serve as alternative or adjunctive treatments.

    Conclusions:

    • Cushing's disease requires a systematic diagnostic approach.
    • Transsphenoidal surgery offers the best initial therapeutic outcome.
    • Multimodal treatment strategies may be necessary for comprehensive management.