The Desmopressin Test Predicts Better Than Basal Cortisol the Long-Term Surgical Outcome of Cushing's Disease
Author(s) -
Dimitra A. Vassiliadi,
Maria Balomenaki,
Athina Asimakopoulou,
Efi Botoula,
Marinella Tzanela,
S. Tsagarakis
Publication year - 2016
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2016-2799
Subject(s) - cushing's disease , medicine , basal (medicine) , desmopressin , hazard ratio , confidence interval , endocrinology , receiver operating characteristic , transsphenoidal surgery , gastroenterology , cortisol awakening response , retrospective cohort study , hydrocortisone , disease , adenoma , pituitary adenoma , insulin
Cushing's disease (CD) has a significant relapse rate after successful transsphenoidal surgery (TSS). Many CD patients respond aberrantly to the desmopressin test (DT). Disappearance of this response after surgery may suggest complete removal of abnormal corticotrophs and a lower possibility of recurrence.
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