[Two cases of unilateral adrenalectomy for bilateral adrenal Cushing syndrome].
For treatment of bilateral adrenal Cushing syndrome (CS) unilateral adrenalectomy (UAdx) is less invasive than bilateral adrenalectomy and lifetime replacement of glucocorticoids can be avoided. Laparoscopic UAdxs was performed on 2 patients with bilateral adrenal CS. In both cases, symptoms associated with CS were improved after UAdx. Although serum adrenocorticotropic hormone levels remained lower than normal after UAdxs, cortisol levels in both serum and urine have been maintained within normal ranges for more than 1 year in both cases.
Tobe
Musashi
M
Department of Urology, National Defense Medical College
Ito
Keiichi
K
Umeda
Shun
S
Adaniya
Noriaki
N
Kaji
Tatsumi
T
Tanaka
Yuji
Y
Hayakawa
Masamichi
M
Asano
Tomohiko
T
D000315:Adrenalectomy / Q000379:methods*; D000324:Adrenocorticotropic Hormone / Q000097:blood; D000328:Adult; D003480:Cushing Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood / Q000652:urine; D008875:Middle Aged
D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone