tag:blogger.com,1999:blog-1020386515354656609.post4197382123072913088..comments2024-03-19T15:11:11.769-04:00Comments on Insights into Veterinary Endocrinology: Q & A: Trilostane Treatment of a Cat with Cushing's DiseaseDr. Mark E. Petersonhttp://www.blogger.com/profile/10804290441832222507noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-1020386515354656609.post-81286071916183154422012-10-22T09:57:43.180-04:002012-10-22T09:57:43.180-04:00Yes, I would strongly recommend a dexamethasone sc...Yes, I would strongly recommend a dexamethasone screening test to confirm that your cat has Cushing's syndrome before surgery. <br /><br />First of all, if the serum cortisol levels suppress, that would tell us that trilostane would not be indicated prior to surgery (and it might even hurt your cat). Secondly, if your cat does not have Cushing's, the adrenal mass may be a pheochromocytoma. As you know, that tumor would be managed completely differently than a cortisol-secreting tumor.Dr. Mark E. Petersonhttps://www.blogger.com/profile/10804290441832222507noreply@blogger.comtag:blogger.com,1999:blog-1020386515354656609.post-90378097620994486982012-10-22T03:22:47.143-04:002012-10-22T03:22:47.143-04:00You are obviously very knowlegable about Cushing&#...You are obviously very knowlegable about Cushing's disease in cats. Thanks so much for the post as it was very helpful to me. I also read your article "Adrenal Tumors in Cats" in Insights into Vererinary Endocrinology from October 14, 2010.<br />As a general Surgeon for humans I am asking a question here even though I am not a Veterinarian as I have a very good understanding of medical terminology.<br /> <br />I have a cat with a clinical picture of Cushing Syndrome and a left adrenal mass found on plain xray. <br />An ultrasound will be done today to see if the tumor looks resectable or not. Resectable or not I think Vetoryl may help the cat as the blood sugar was 335. If it can be resected the medication may help to optimize her condition preoperatively and if it can't be resected it may be the only palliative option.<br /><br />Is it really necessary to do a low dose dexamethasone test before and after starting the medication when we already know it is probably due to the unilateral left adrenal mass?<br />Can we just manage the cat by checking her blood sugars and clinical condition?<br /><br />Thanks so much, <br />Linda M. Neri MDLinda Neri MDhttps://www.blogger.com/profile/08348818316719578568noreply@blogger.com