Treatment for Cushing's syndrome: medications or surgery?

Author:
Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker

The choice of appropriate treatment is influenced by the cause of Cushing's syndrome. As it results to a greater extent as a result of the tumor, surgical treatment is chosen. In pituitary adenoma, a neurosurgical operation is performed, ie the removal of the adenoma. If this method is not possible, radiation therapy is considered, the so-called Leksell gamma ray (LGN), is a stereotactic radiation treatment.

If the tumor is located on the adrenal gland, adrenalectomy is performed. The sparing method is laparoscopic surgery. Subsequently, it can be combined with chemotherapy. After removal of the adrenal glands, corticoids must be administered by substitution.

However, if the operation cannot be performed for various reasons, the treatment is medicated. The patient is given medicines that block the production of glucocorticoids. If high cortisol levels have been caused pharmacologically by corticoids, their administration should be reduced or completely reduced. In general, the sooner the disease is detected, the better the chances of a cure.

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Bc. Lukáš Tóth
Bc. Lukáš Tóth
Healthcare worker
The secondary medical school in Nitra gave me the basis for my career in the field of health and diseases. Thanks to it, I worked for 2 years in the traumatology clinic and outpatient clinic at the Nitra Hospital. Since 2006 I was employed in the emergency medical service, where I stayed until 2017. I completed my bachelor's degree at the University of Constantine the Philosopher in Nitra in the field of emergency health care. The bachelor's degree allowed me to continue my mission as a paramedic. In the meantime, I got a job at the emergency line 155. I have been working in pre-hospital health care until today. I had an interest in people, health and even diseases in my childhood, which gave me the prerequisite to pursue this topic in adulthood. Studying and acquiring new information in practice provided me with a great basis for writing professional texts, in the form of articles that can be understood by ordinary people. Thus, my interest in the Health Portal has a solid foundation in years of practice and personal interest. Similarly, I am also interested in healthy eating, nutrition and overall healthy lifestyle. I fill my free time with family and sports.
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