TREATMENT BEFORE OPERATING ON A FUNCTIONAL ADRENAL TUMOR 4 June 2015

TREATMENT BEFORE OPERATING ON A FUNCTIONAL ADRENAL TUMOR  4 June 2015

QUESTION-Should we treat hypercortisolism pharmacologically prior to surgery of a cortisol-secreting 3cm adenoma in a 35 year old lady with a blood pressure 150/90 and normoglycemia. She is quite asymptomatic and presented with diffuse alopecia. UFC around x3 of normal levels, serum levels slightly elevated. Many thanks, Dr T Matteucci

RESPONSE--Many thanks. In general, I do tend to pre-treat patents with Cushing's syndrome who are having an abdominal operation, but in this case the syndrome does not appear to be particularly severe and I assume it will be performed laparoscopically, so it would be reasonable to proceed without blockade. Regards, Ashley Grossman, MD