Background: An ACTH-secreting pituitary adenoma is the most common cause of excessive endogenous glucocorticoid production resulting in Cushing's Syndrome. A multidisciplinary approach is paramount. Selective adenomectomy is the treatment of choice.
Method: Endoscopic transnasal transsphenoidal approach to the tumour, along with techniques for resection, are demonstrated.
Conclusion: Endoscopic transsphenoidal approaches with its magnified view of the pituitary gland allows precise microsurgical dissection during selective adenomectomy. This technique increases the possibility of proving a gross total resection, leading to clinical and biochemical cure in these patients.
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| http://dx.doi.org/10.1007/s00701-024-06078-y | DOI Listing |
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