SYNCHRONOUS BILATERAL ADRENALECTOMY BY MIDLINE INCISION: A RELIABLE METHOD FOR TREATMENT OF HYPERCORTISOLISM (LETTER TO EDITOR)

摘要

Cushing syndrome is one of the diseases associated with adrenals secreting too much cortisol. The syndrome was first described by Harvey Cushing in 1932. It can be caused either by a tumor originating from the corticotroph cells located in pituitary glands, called corticotroph adenoma, or primary adrenal hyperplasia. It can be also the consequence of some other rare conditions such as ectopic corticotropin-releasing hormone (CRH) causing increased adrenocorticotropic (ACTH) secretion and macronodular adrenal hyperplasia (a primary pigmented nodular adrenal disease). To manage the situation, previous articles demonstrated some strategies including two main groups of surgical treatments and non-surgical procedures.