Table 5.

Reasons why 44 patients with Cushing’s syndrome (CS) in this series were not treated with bilateral adrenalectomy (BA) (steroidogenesis inhibition only).

	Diagnosis
Reasons for no BA	Ectopic CS (n=35)			Pituitary CS (n=9)	Total
	Occult (n=4)	MTC or SCLC (n=16)	Other NET (n=15)
Prohibitive operative risk	2		1	1	4
Patient refusal	1		1	2	4
Primary tumor treatment			6	4	10
Well controlled symptoms	1		2	2	5
Limited life expectancy		16	5		21

Abbreviations: MTC = medullary thyroid cancer, SCLC = small cell lung cancer, NET = neuroendocrine tumor