Radiotherapy

Conventional radiotherapy will stabilize the majority of large tumors and allow a certain amount of shrinkage. In acromegaly, GH levels usually start to fall within 2-3 years but may only approach normality at 5-8 years. A recent Cushing's series suggests that the response in ACTH-secreting tumors may be better.

Currently, there is a strong pressure to change to conformal techniques - the gamma knife and stereotactic linear accelerator methods (LINAC) - particularly the single dose regimens. The attraction of these techniques is their ability to deliver a higher radiation dose to the tumor, with much greater sparing of normal tissue. Although there is intense interest, their indications, efficacy and complication rates are, to a certain extent, unknown.

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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