Age (range) | Clinical symptoms | MRI results | Central-izing BIPSS | Lateralization on BIPSS | Treatment | Pathology | Clinical result |
---|---|---|---|---|---|---|---|
60s | Hypertension, osteoporosis, central obesity, diabetes | Right inferior 4–5 mm nodule | Yes | Right | Tumor resection | Right adenoma | Remission |
30s | Hypercortisolism, acne, chronic pain, diabetes | Left sellar 7 mm partly cystic nodule | Yes | Left | Tumor resection | Left adenoma | Remission |
30s | Weight gain, rounded facies, buffalo hump | Central inferior 2–3 mm nodule and far right sellar cystic nodule | Yes | Right | Tumor resection | Right adenoma | Remission |
10s | Delayed growth, cushingoid habitus | Normal | Yes | Right | Tumor resection | Right adenoma | Remission |
40s | Weight gain, buffalo hump, fatigue, weakness, decreased bone density | Subtle abnormality inferiorly | Yes | Left | Tumor resection | Right adenoma | Remission |
10s | Growth failure, obesity, facial plethora, acne | Normal | Yes | Right | Tumor resection | Right adenoma | No follow-up |
20s | Hypothyroidism, weight gain, striae | Normal | Yes | Left | Tumor resection | Inferior adenoma | Remission |
20s | Memory loss, weight gain, irregular menses, hypertension, hirsutism, easy bruising, striae, buffalo hump, supraclavicular fat | Left sellar 6 mm nodule | Yes | Right | Tumor resection | Left adenoma | Remission |
60s | Weight gain, diabetes, hypertension, chronic renal failure | Normal | Yes | Right | Tumor resection | Right adenoma | Remission |
30s | Weight gain, fatigue, depression, anxiety | Right sellar 8–9 mm cystic abnormality | Yes | None | Tumor resection | Right adenoma | Remission |
20s | Weight gain, striae, facial hair, amenorrhea, diabetes | Left sellar 4 mm abnormality | Yes | Right | Tumor resection | Left adenoma | Remission |
30s | Weight gain, buffalo hump, hirsutism | Inferior right sellar nodule | Yes | Left | Tumor resection | Right adenoma | Remission |
40s | Hypertension, diabetes, central weight gain, acne, facial rounding, supraclavicular fat | Right lateral sellar abnormality | Yes | None | Tumor resection | Central/right adenoma | Remission |
50s | Fatigue, weakness, bruising, emotional liability, round face | Normal | Yes | Right | Tumor resection | Right adenoma | Remission |
30s | Amenorrhea, central weight gain, round face, easy bruising, muscle weakness, joint and back pain, fatigue | Right pituitary nodule | Yes | Right | Tumor resection | Right adenoma | Remission |
40s | Fatigue, anxiety, facial hirsutism, prolonged bruising, irregular menses, acne, weight loss | Normal | No | None | No follow-up | ||
60s | Anxiety, hypertension, easy bruising, hair loss | Possible left pituitary lesion | Yes | Left | No surgery | Ongoing symptoms | |
80s | Hypertension, hypercortisolemia | Midline 4–5 mm nodule | Yes | Left | Tumor resection | Left adenoma | Remission |
10s | Hypercortisolemia with growth retardation, early puberty and evidence of Cushing disease | Possible right pituitary nodule | Yes | Right | Tumor resection | Right adenoma | Remission |
20s | Central obesity, high blood pressure, easy bruising, striae, oligomenorrhea, dysthymia | Possible central nodule | No | None | Tumor resection | Right adenoma | Remission |
BIPSS, bilateral inferior petrosal sinus sampling.