Subclinical Cushings? What to do?

[Guest guest]

mentioned subclinical cushings in an earlier post. I was tested for this

due to a higher than normal 24hr urine cortisol test and glucose intolerance on

some 2 hour glucose test. The doctor did an overnight dex suppression test. My

number came back at 0.40 on that test so the doctors kind of moved on.

My pituitary shows some abnormality on MRIs. All blood work for the pituitary

has been normal.

I am scheduled for an AVS on August 23rd. What does subclinical cushings add to

this puzzle? If one has cushings, would surgery not be recommended even if

unilateral production of aldosterone is found?

I am assuming that one would still recommend removing the offending adrenal, and

then removing the pituitary adenoma if one is found.

I know you have a lot of knowledge about this. My docs at Mayo and Wash U

don't seem concerned about cushings. However, they are always receptive to my

questions and actually collaborate with each other from time to time.

Does subclinical cushings mean that the PA could be a biproduct of the cushings?

Does this mean that even if an AVS shows that surgery is possible, this could be

inaccurate?

35yr old male. Diagnosed 04/2011. AVS scheduled 08/23.