Surgical Treatment of Cushing’s Disease

作者: Travis S. Tierney , Brooke Swearingen

DOI: 10.1007/978-1-4614-0011-0_9

关键词: DiseaseSurgical treatmentPituitary adenomaComplicationTranssphenoidal surgeryHypopituitarismSurgeryMedicineCushing's diseaseDiabetes insipidus

摘要: Modern transsphenoidal surgery for Cushing’s disease is usually curative, achieving durable remission in 70–90% of cases. Comparison and recurrence rates between series the literature difficult as many employ different criteria. Complication are low, but include hypopituitarism, diabetes insipidus, CSF rhinorhhea. Improved can be obtained with early re-exploration after initial unsuccessful procedures, reoperation remains an option recurrence. This chapter reviews current surgical techniques, including microscopic endoscopic approaches.

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