Efficiency and tolerance of mitotane in Cushing's disease in 76 patients from a single center.

Author: AbbasHalim, BaudryCamille, BertagnaXavier, BertheratJérôme, Bou KhalilRoula, CosteJoël, GuibourdencheJean, GuignatLaurence, LegmannPaul, SilveraStéphane

Paper Details 
Original Abstract of the Article :
CONTEXT: Alternatives to transsphenoidal pituitary surgery may be required in Cushing's disease (CD) as a first- or second-line treatment. Mitotane is a potent anti-cortisolic drug but has been rarely investigated in the treatment of CD. OBJECTIVE: Evaluation of the efficacy and tolerance of mitota...See full text at original site
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引用元:
https://doi.org/10.1530/EJE-12-0358

データ提供:米国国立医学図書館(NLM)

Mitotane: A Versatile Weapon in the Desert of Cushing's Disease

Cushing's disease, a condition caused by excessive cortisol production, is like a desert storm that disrupts the body's delicate balance. This study explores the effectiveness and tolerance of mitotane, a potent anti-cortisolic drug, in treating Cushing's disease. It's like venturing into a harsh desert landscape, seeking a powerful weapon to combat a relentless foe.

The researchers retrospectively analyzed data from 76 patients with Cushing's disease who received mitotane treatment. Their findings highlight the effectiveness of mitotane in controlling hypercortisolism, with a significant proportion of patients achieving remission. It's like discovering a hidden oasis, where a powerful weapon provides a much-needed reprieve from the storm.

Mitotane's Effectiveness in Controlling Cushing's Disease

The study found that mitotane achieved remission in 72% of patients, with a median time to remission of 6.7 months. This suggests that mitotane can be an effective treatment option for Cushing's disease. It's like finding a wellspring of healing in the heart of a desert, providing a source of relief and restoration.

Navigating the Side Effects of Mitotane

The study also acknowledged the potential side effects of mitotane, with 29% of patients experiencing intolerance. It's a reminder that even powerful weapons can come with a price, highlighting the need for careful monitoring and management of potential complications. It's like navigating a desert landscape, understanding the risks and rewards of different paths.

A Comprehensive Approach to Cushing's Disease

This study emphasizes the importance of a comprehensive approach to managing Cushing's disease, combining the use of mitotane with careful monitoring and individualized treatment strategies. It's like mapping a desert landscape, understanding the intricacies of the terrain and developing effective strategies for navigating its challenges.

Dr. Camel's Conclusion

This study underscores the potential of mitotane as an effective treatment for Cushing's disease, highlighting the importance of careful monitoring and management of potential side effects. It's a reminder that the desert of Cushing's disease can be harsh, but with a strategic approach and the right tools, we can find oases of hope and relief.

Date :
  1. Date Completed 2012-11-29
  2. Date Revised 2022-03-15
Further Info :

Pubmed ID

22815335

DOI: Digital Object Identifier

10.1530/EJE-12-0358

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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