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Regional Centre for Endocrinology and Diabetes, Belfast Health and Social Care Trust, Belfast, UK
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Department of Cellular Pathology, Belfast Health and Social Care Trust, Belfast, UK
Northern Ireland Biobank, Belfast Health and Social Care Trust, Belfast, UK
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( Fleseriu et al. 2021 , Valassi 2022 ). Mortality in CD has repeatedly been shown to be raised in relation to the general population and is largely due to cardiovascular events, and this persists despite cure of CD with bilateral adrenalectomy ( Fountas
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Medicover Neuroendocrinology, Munich, Germany
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bilateral adrenalectomy ( Ritzel et al. 2013 , Pivonello et al. 2015 , Tritos & Biller 2018 , Feelders et al. 2019 ). The somatostatin analogue pasireotide is the only pituitary-targeting pharmaceutical that is approved for the treatment of
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APHM Timone, Department of Neurosurgery, Marseille, France
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APHM, Conception, Laboratory of Molecular Biology, Marseille, France
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APHM Conception, Department of Endocrinology, Marseille, France
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APHM, Conception, Laboratory of Molecular Biology, Marseille, France
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( Iwama et al. 2014 ). In light of the so-called Nelson’s syndrome secondary to bilateral adrenalectomy and abolition of the cortisol-induced negative feedback, the issue concerning the role of PEG in promoting growth of a residual GH-secreting tumor
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Green Templeton College, University of Oxford, Oxford, UK
Centre for Endocrinology, Barts and the London School of Medicine, London, UK
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/or metyrapone. Surgical intervention with bilateral adrenalectomy is another option available to some patients ( Hayes & Grossman 2018 ). However, systemic therapy with tyrosine kinase inhibitors such as vandetanib offers a further management strategy for