CUSHINGS SYNDROME WITH BILATERAL ADRENAL MASSES: WHAT MANAGEMENT?
Journal: International Journal of Advanced Research (Vol.10, No. 04)Publication Date: 2022-04-14
Authors : Fatimazahrae Melki Loubna Saadaoui Houda Salhi; Hanan El Ouahabi;
Page : 311-314
Keywords : Bilateral Adrenal Masses Cushings Syndrome Adrenal Venous Sampling;
Abstract
ACTH independent Cushings syndrome (CS) with bilateral adrenal masses is an extremely rare entity. Its management constitutes a challenge to clinicians due to difficulty of exact location of the functional lesions. We herein report a case of a 42-year-old patient with a heavy smoking history who presented a CS for 2 years. Serial examinations revealed ACTH independent CS and bilateral adrenal masses on adrenal computed tomography the largest was on the left measuring 30 x 27 mm. Then the patient underwent a laparoscopic adrenalectomy for left adrenal tumor which diagnosed as an adrenal cortical adenoma with a Weiss Score <2 by the pathological reports. The immediate post-operative course was marked by a corticotroph deficiency that was substituted. The removal of the largest adrenal lesion could represent a therapeutic alternative in the management of bilateral adrenal masses when functional and / or invasive exploration isnt available.
Other Latest Articles
- ELECTRONEUROMYOGRAPHIC AND CLINICAL ASPECTS OF BRACHIAL PLEXUS INVOLVEMENT IN PANCOAST-TOBIAS SYNDROME: A CASE REPORT
- EARLY RECURRENCE OF CARCINOMA GALL BLADDER AFTER R0 RESECTION OF STAGE T1B-T3
- ATMANIRBHAR BHARAT: AN EXPLORATION OF THE PURSUIT OF INDIAN GOVERNMENT TO FULFIL MAHATMA GANDHIS VISION
- DECOMMISSIONING OF TELETHERAPY MACHINE AND TRANSPORT OF DECAYED TELETHERAPY SOURCE
- EFFECT OF YOGA BREATHING EXERCISE ON THE PULMONARY FUNCTION PARAMETER (PEAK EXPIRATORY FLOW RATE) AND SYMPTOM CONTROL OF CHILDREN WITH MODERATE PERSISTENT BRONCHIAL ASTHMA ATTENDING TERTIARY CARE CENTRE-A QUASI EXPERIMENTAL STUDY
Last modified: 2022-05-13 21:29:21