http://www.smartgroups.com/message/readmessage.cfm?gid=1423922&messageid=3653 Author wrote: >with two glands that are approx. 4cm x 4cm what would be the better >choice? Lupron injections once a month, or removal of adrenal glands? >i would appreciate DVM input. Absolutely surgery - normal glands are less than 0.5 cm, anything over a cm in diameter is a carcinoma. This sounds like bilateral carcinoma. As Lupron will not stop the growth of the glands, without surgery, this one doesn't have a lot of time left... With kindest regards, Bruce Williams, DVM [Posted in FML issue 4087]