Cushings anyone?

Bariatric & Weight Loss Surgery Forum

Help Support Bariatric & Weight Loss Surgery Forum:

Good looking young man.. I too hope that this can be dealt with relatively easily and getting rid of nodule causes the Cushings to go away.

Best wishes and I am happy you guys are on a path to answers. Hang in there. You are a tough lady who has gone through a lot yourself so take care of yourself, please.
 
Dr. Google and I probably didn't find anything you don't already know:

Pituitary tumors that secrete corticotropin can cause Cushing disease (http://emedicine.medscape.com/article/126702-overview):

Corticotropin-secreting adenomas cause Cushing disease characterized by weight gain, primarily in the facial, nuchal, truncal, and girdle areas (ie, centripetal or "buffalo" obesity). Protein breakdown leads to thin, friable skin that bruises easily; this breakdown may form wide striae that are often purple. The protein breakdown often causes muscle weakness (proximal muscles more than distal muscles), wasting, and osteopenia with fragility fractures. Women often develop hirsutism. In children, growth is arrested.​
***
Cushing syndrome is best treated with surgical resection of the microadenoma, if possible. Medical alternatives, especially after surgical failure, include a new long-acting somatostatin agonist pasireotide, a glucocorticoid receptor antagonist mifepristone, or adrenal steroidogenesis inhibitors such as ketoconazole.​

Surgery to remove microtumors in the pituitary are usually done through the nose: http://pituitary.mgh.harvard.edu/TranssphenoidalSurgery.htm

After addressing and fixing this problem, which I hope will not be a terrible ordeal once they figure out what needs to be done, one must ask why another neuroendocrine tumor in the family - albeit a different type?
 
I hope you get some good news soon!

Thanks! This isn't the best news, but at least we have some clues and a direction. The unknown is far scarier.

Good looking young man.. I too hope that this can be dealt with relatively easily and getting rid of nodule causes the Cushings to go away.

Best wishes and I am happy you guys are on a path to answers. Hang in there. You are a tough lady who has gone through a lot yourself so take care of yourself, please.

Thanks! I'm just trying to stay as healthy and positive as possible. You are one who definitely understands how difficult that can be. Wishing you and Cameron the best.

Dr. Google and I probably didn't find anything you don't already know...

...After addressing and fixing this problem, which I hope will not be a terrible ordeal once they figure out what needs to be done, one must ask why another neuroendocrine tumor in the family - albeit a different type?

Thanks for the info and positive wishes. I'm hoping for the best!

It does seem to be familial, sadly, though not sure what "it" is.

My PNET definitely does come to mind, as does my cousin's recent meningioma... I've also lost two cousins in their 40's, one was a brain tumor of unspecified type (need to dig further), the other was due to small cell lung cancer.

I had a test for Multiple Endocrine Neoplasia (MEN-1) a couple of years ago that came back negative, and that seems to be the most likely known hereditary angle. I'll get a retest to be certain that nothing went awry. But maybe it is MEN-4? Or something rare enough not to be named? Whatever, I hate that I've passed it along to another innocent child. I can only hope that Hannah remains untouched by this.

In any case, just glad to get some traction. I really only want for Liam to be able to enjoy a normal, happy life.
 

Latest posts

Back
Top