1. A Multidisciplinary Team Approach Challenges and Best Practices in Cushing Disease

3. Program Goals

4. Patient Case 39-Year-Old Woman

5. Patient Case (cont)

6. Cushing Disease Clinical Features

7. Cushing Disease Biochemical Diagnosis

8. Patient Case Laboratory Findings

9. Establishing the Source of ACTH Excess

10. Managing Patient Expectations Post-Operatively

11. Patient Case Post-Op Course

12. Patient Case 3 Years Later…

13. Does the Patient Have Recurrent Cushing Disease?

14. Recurrent Cushing Disease Treatment Targets and Options

15. Adrenal Steroidogenesis Inhibitors*

16. Cabergoline* Dopamine Agonist

17. Absolute Change in UFC Levels From Baseline to Month 6 With Pasireotide

18. Pasireotide Adverse Events Hyperglycemia

19. Mifepristone

21. Mifepristone Adverse Events and Monitoring

22. Emerging Agents Target Adrenal Steroidogenesis

23. Radiation Therapy and Radiosurgery

24. Bilateral Adrenalectomy