Cushing's disease is a difficult pituitary tumor.
Many hospitals were diagnosed with many hospitals. Bian said the diagnosis of Cushing's disease is rather difficult, and it is a disease that needs multidisciplinary collaboration.
First of all, it must have typical clinical manifestations. How can we determine whether obesity is simple obesity or obesity in Cushing's disease? Bian said, obesity of Cushing's disease may also merge some other physical problems, such as fungal infection, it is difficult to cure, the most common is the treatment of onychomycosis; osteoporosis, prone to pathological fracture; long duration of disease, accompanied by hypertension and diabetes. He also mentioned that some of the patients were not treated because of obesity. Many of them were treated because of their bad nails. They broke down at an early age or had high blood pressure and diabetes. Finally, they discovered that Cushing's disease was the cause.
Apart from some clinical manifestations, diagnosis is the most important one, and the most important is biochemical examination. This requires Department of Endocrinology examination.
Bian said, for the treatment of Cushing's disease, surgery is the first choice. Although there are drugs, but drugs mainly inhibit cortisol levels, is a temporary solution, clinical symptoms will improve, but not cure, some patients may lead to increased pituitary tumor after taking drugs.
Bian director, Endoscopic sinus surgery is the main procedure for Cushing's disease. 。 Although some patients are estimated to be pituitary sources before surgery, magnetic resonance imaging does not necessarily detect tumors, which requires the experience of neurosurgeons. Therefore, surgery must be carried out in hospitals that are highly specialized in the treatment of Cushing's disease.
What is the effect of Cushing's disease after surgical treatment? Bian said, from the surgical patients in Ruijin hospital, the cortisol levels in the 5 years after operation were all above 90%, which is at a relatively good level both domestically and internationally.
In conclusion, Cushing's disease is a disease that requires multidisciplinary collaboration, so that patients can better get back to society and live and work like normal people.