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OCR: phenoidal Careful follow-up is essential after tran en to surgery, and consideration should be gi erapy or further therapy such as pituitary radiotl nerly, re-exploration of the pituitary fossa. For nmon bilateral adrenalectomy was the most co definitive therapy: however, its signific ly reduced mortality and morbidity have been gre pone or by preoperative preparation with mety other medical therapy.