Dr Fleseriu discusses reproductive assistance options that can be pursued in patients with hypopituitarism who want to become pregnant, how endocrinologists can best navigate prescribing appropriate levels of pituitary hormone replacement therapy among pregnant patients, and more.
Approximately 2.5% of adrenal masses represent metastatic disease, and 5% are adrenocortical carcinoma (ACC). Given the poor prognosis associated with ACC, early diagnosis and curative resection are critical.
A 67-year-old woman is seen in the office a week after a long hospital admission for a variety of diabetes-related complications. She has had diabetes for 30 years, and her management has progressed from dietary changes to a variety of oral antidiabetes agents to, in recent years, injected insulin regimens.