When to Intervene for Subclinical Cushing's Syndrome

被引：6

作者：

Hsieh, Lily B. ^{[1
]}

Mackinney, Erin ^{[2
]}

Wang, Tracy S. ^{[3
]}

机构：

[1] Med Coll Wisconsin, Div Surg Oncol, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA

[2] Southern Illinois Univ, Sch Med, Dept Gen Surg, POB 19638, Springfield, IL 62794 USA

[3] Med Coll Wisconsin, Div Surg Oncol, Sect Endocrine Surg, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2019年 / 99卷 / 04期

基金：

美国国家卫生研究院;

关键词：

Subclinical Cushing's syndrome; Adrenal incidentaloma; Minimally invasive adrenalectomy; Subclinical hypercortisolism; Subclinical glucocorticoid hypersecretion; NIGHT SALIVARY CORTISOL; URINE FREE CORTISOL; ADRENAL INCIDENTALOMAS; FOLLOW-UP; VERTEBRAL FRACTURES; CARDIOVASCULAR RISK; NATURAL-HISTORY; SINGLE-UNIT; DIAGNOSIS; HYPERCORTISOLISM;

D O I：

10.1016/j.suc.2019.04.011

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Without the overt clinical signs and symptoms associated with Cushing's syndrome, the diagnosis of subclinical Cushing's syndrome (SCS) is primarily based on biochemical evaluation. Despite being labeled as "subclinical," SCS is associated with significant morbidity that can be improved with adrenalectomy. Minimally invasive adrenalectomy is associated with low morbidity in the hands of experienced adrenal surgeons and is recommended as the treatment of choice for SCS patients with SCS-associated comorbidities.

引用

页码：747 / +

页数：13

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