Target gland treatment of Cushing syndrome
10.3760/cma.j.issn.1000-6702.2017.04.001
- VernacularTitle:皮质醇增多症的靶腺处理
- Author:
Hanzhong LI
;
Yushi ZHANG
- Keywords:
Cushing syndrome;
Adrenal gland;
Surgery
- From:
Chinese Journal of Urology
2017;38(4):241-243
- CountryChina
- Language:Chinese
-
Abstract:
Cushing syndrome (CS) is a series of clinical symptoms and signs caused by long-term exposure to abnormally high levels of glucocorticoids.It is divided into two types of adrenocorticotropic hormone(ACTH) dependent and ACTH-independent CS.There are great differences in the target gland treatment of different causes of the disease, but the basic principle is to make a clear diagnosis.It is very important to treat primary lesions for ACTH-dependent CS.The adrenal gland will be resected when the treatment of primary lesions is not satisfied or the diagnosis is not clear.Adrenal sparing surgery is recommended for the definitive diagnosis adenomas of CS or subclinical CS.There is a lot of controversy about the treatment of ACTH-independent adrenal gland hyperplasia and primary pigmented nodular adrenal gland, and the individualized treatment scheme has been recognized.
