A member asked:

Cortasol test 3.90 with dexamethasone. is this a normal test result. i do have a 1.4cm tummer on left adrenal gland and 1cm on right?

3 doctors weighed in across 2 answers
Dr. Samuel Galima answered

Specializes in Family Medicine

Low dose dexamethasone suppression test is a screening test to diagnose Cushing Syndrome. The typical dose is 1mg or 3mg taken at 11pm-12am, and cortisol checked 8am the next morning. If the cortisol is still elevated (above 1.8mcg/dL), other labs should be checked, such as 24 hour urine free cortisol, ACTH level, and repeat suppression test with 8mg. Other adrenal hormones should also be checked

Answered 12/26/2022

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Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

You do not tell us you were tested with low or high dose suppression test with dexamethasone. If you received only 1 mg on the previous night, the cortisol level the next morning should be less than 1.8 mcg/dL then so the result of 3.9 mcg/dL is abnormal and you probably have active adrenal adenoma(s).

Answered 12/26/2022

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