Endocrine Abstracts

Background: We have seen an increased referrals to endocrinology because of adrenal lesions that are discovered on imaging performed for other clinical indications. This is largely driven by the increased use of, technological advancement in imaging modalities, and increasing prevalence of chronic disease. We performed an audit to determine the incidence of adrenal incidentalomas at a large general hospital and to assess management of adrenal incidentalomas in relation to the ...

A 45-year-old female developed clinical and biochemical recurrent Cushings’ Disease 2.5 years after transsphenoidal hypophysectomy for 2cm pituitary macroadenoma. Past medical history included Type 2 Diabetes mellitus, asthma, hypertension, grade 3 obesity, dyslipidaemia, depression and sleep apnoea. MRI showed residual pituitary tissue with left sphenoid sinus extension. MDT advised repeat transphenoidal surgery over radiotherapy due to presence of a clearly visible surg...