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New Message on Pituitary Chat

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From: MinnieChat
Message 8 in Discussion

  I know how you feel. I am on medication for Cushings. In my case, I decided 
to stick with the medication until it plays out, or until one of the new drugs 
gets out of phase 2 clinical trials. Of course, my endo and I haven't talked 
since I saw the surgeon last July (who saw residual tumor) but... I am hopeful, 
that some new medications will be available within the next 3-5 years.   I too 
have seen some impressive studies on radiosurgery techniques. I've seen some 
new data that actually shows some types of radiosurgery providing a better 
outcome  than a second surgery. Multiple surgeries can cause surgical induced 
hypopitutarism, and cavernous sinus surgery is risky to boot. A friend of mine 
had radiation to residual tumor in her cavernous sinus (for Cushings). The 
technique included transposition. She is not hypopituitary at all, her acth 
levels and cortisol levels normalized, and she had a second child this last 
year. Needless to say, I am impressed.    As all things... the outcome of the 
radiosurgery is completely dependent on the expertise of the center.   I don't 
think there is ever a 'normal' like it used to be. I think you can achieve 
different levels of disease control and do your best to adapt an attitude that 
you are managing a chronic illness, and not let it manage you.   I encourage 
you to write out the positives and negatives of each approach and discuss them 
with your doctor, and other people in your life you are close with.   You know 
the risks with acromegaly, and you must balance the risks with a concise 
disease management approach. This approach has to be tailored to your 
particular situation. As with all things, we hope for the best.   Minnie

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