A patient with a non-ACTH-producing adrenal cortex tumor is scheduled for a surgical procedure to remove the tumor. Which statement by the patient indicates that teaching about the procedure has been effective?
1. "The adrenal gland with the tumor will be removed."
2. "I will need to take adrenal hormones for the rest of my life."
3. "The tumor will be removed by the transsphenoidal route."
4. "I will receive IV cortisol in preparation for the surgery."
Correct Answer: 1
When Cushing syndrome is caused by a non-ACTH-producing adrenal cortex tumor, an adrenalectomy may be performed to remove the tumor and the affected adrenal gland. Only one adrenal gland is usually involved. As there is a remaining adrenal gland, patients do not need lifetime adrenal hormone replacement. Adrenal glands are not removed via the transsphenoidal route. The patient with Cushing syndrome is already experiencing elevated cortisol levels; IV cortisol is not indicated prior to adrenalectomy.
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