She underwent endoscopic transsphenoidal removal of the pituitary tumor, performed by Dr. Michael Brisman. Postoperative imaging showed the tumor was removed completely. Postoperative lab tests showed very low serum cortisol levels, consistent with a successful operation. She was placed on replacement hydrocortisone. She was feeling much beer, and her hypertension and diabetes were much improved. It is expected that she is cured of her Cushing’s Disease. She will undergo periodic follow-up imaging and lab tests.
This is a 46-year-old woman who presented with a 9 mm right-sided pituitary adenoma with a recent diagnosis of Cushing’s Disease. For two years she noticed some swelling of her body. The swelling was much more noticeable recently. She had pronounced swelling of her face, body, and legs. She was also recently diagnosed with hypertension and diabetes. She also had some recent impairment of her memory and thought processes. Her endocrine testing was consistent with Cushing’s Disease, that is, a pituitary source of her high systemic cortisol levels.