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Cushing syndrome - Treatment

Alternative Names

Hypercortisolism

Treatment:

Treatment depends upon the cause.

Cushing syndrome caused by corticosteroid use:

  • Slowly decrease the drug dose (if possible) under medical supervision.

Cushing syndrome caused by a pituitary tumor or tumor that releases ACTH:

  • Surgery to remove the tumor
  • Radiation after removal of a pituitary tumor (in some cases)
  • Hydrocortisone (cortisol) replacement therapy (after surgery, and sometimes continued throughout the patient's life)

Cushing syndrome due to an adrenal tumor:

  • Surgery to remove the tumor
  • If the tumor cannot be removed, medications to help block the release of cortisol

Expectations (prognosis):

Removing the tumor may lead to full recovery, but there is a chance that the condition will return.

Survival for people with ectopic tumors depends on the tumor type. Untreated, Cushing syndrome can be life-threatening.

Complications:

Calling your health care provider:

Call your health care provider if you have symptoms of Cushing syndrome.

  • Reviewed last on: 3/18/2008
  • Elizabeth H. Holt, MD, PhD, Assistant Professor of Medicine, Section of Endocrinology and Metabolism, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Arnaldi G, Angeli A, Atkinson AB, et al. Diagnosis and complications of Cushing's syndrome: A consensus statement. J Clin Endocrinol Metab. 2003;88:5595-5602.

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