Reference centers for the management of rare endocrine diseases

By Dr Nathalie Szapiro-Manoukian

Posted
on 08/28/2022 at 4:23 p.m., Update on 08/28/2022 at 4:29 p.m.

In Cushing’s syndrome, also treated in a reference centre, tumor surgery is offered whenever possible. 125333122/megaflop – stock.adobe.com

Part of endocrine diseases require surgery.

If you have the slightest doubt about a possible endocrine cause for the observed changes in appearance, it is recommended to talk about it with your general practitioner and/or an endocrinologist. If the diagnosis of acromegaly, Cushing’s syndrome or Addison’s disease is mentioned, it is better to turn to a (regional) competence centre, attached to a rare disease reference center such as the CRMR Hypo, coordinated by the p^r Thierry Brue for acromegaly in Marseille, and the adrenal CRMR (for Cushing’s disease), coordinated by P^r Jerome Bertherat in Paris. This is the assurance of multidisciplinary care and, if surgery is needed, highly specialized surgeons.

Regarding acromegaly, “About 99% of pituitary adenomas are operable by the endonasal route – therefore by the nostril -, because the pituitary lodges in the sella turcica, located at the level of the roof of the last sinus, explains the P^r Henry Dufour, expert pituitary neurosurgeon at the reference center…

This article is for subscribers only. You have 69% left to discover.

Pushing back the limits of science is also freedom.

Keep reading your article for €0.99 for the first month

Already subscribed? Login