ea0049ep964 | Pituitary - Clinical | ECE2017
Oruk G Gonca
, Olmezoglu Ali
, Apaydin Melda
, Guvenc Gonul
Women affected by Cushings disease (CD) are often infertile due to abnormal follicular development or anovulation. In these patients, first line treatment is pituitary surgery, which is effective in more than 83% of cases with microadenomas, but only in about 35% of those with macroadenomas. When surgery do not normalize circulating ACTH and cortisol concentrations, such drugs, e.g. ketoconazole or metirapone, and radiotherapy are used as adjuvant treatment. Concerning r...