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- W2370164012 abstract "Purpose:To develop the therapeutic ability on cushing's syndrome. Methods:To analyse the clinical data, diagnosis and surgical effect including 108 cases of corticotropin independent cushing's syndrome and 100 cases of corticotropin dependent cushing's syndrome. Results: All patients represented the symptoms of hypercorti-solism and had a high level of blood or urinary cortisol at the same time. The HDDST was negative when the pathological conclusion was adenoma while minor mass was detected in CT. Ninety nine patients were cured after resected the adenoma. Masses were found beyond 6 cm and the DHEAS went up in cases of adrenal cortical carcinoma in which the prognosis was very poor. The character of AIMAH on CT was bilateral adrenal macro-nodular hyperplasia. Only remove both side of the adrenal can heal the patients. The HDDST was positive in Cushing's disease. Each side of the adrenal showed hyperplastic or normal in CT. Total unilateral adrenal resection was performed in 69 cases with normal pituitary, other one received sub-total surgery. Their symptoms were alleviated. Twenty cases that had slight symptoms got the unilateral adrenal resection plus pituitary radioactive therapy. They have had a longterm alleviation. It was much safer to perform the total adrenal resection in different stages. As for ectopic ACTH syndrome, the serum corticotropin was high and tumors that excreting ACTH could be found. Conclusions: The diagnosis of cushing's syndrome should be identified. Different kind of this disease should be managed with different surgery in order to get the optimun effect." @default.
- W2370164012 created "2016-06-24" @default.
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- W2370164012 date "2003-01-01" @default.
- W2370164012 modified "2023-09-26" @default.
- W2370164012 title "Cushingfs syndrome (Report of 208 cases)" @default.
- W2370164012 hasPublicationYear "2003" @default.
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