Endocrine Abstracts

Background: Bilateral total adrenalectomy (TA), despite causing persistent adrenal insufficiency with lifetime replacement of corticosteroids, is the method of choice in patients with bilateral pheochromocytoma. Partial adrenalectomy (PA) is an alternative approach that aims to balance tumor removal while maintaining adrenal function, although the oncological completeness of the procedure is questionable.Objective: The aim of this systematic review and m...

Background: Pheochromocytoma and paraganglioma (PPGL) are rare endocrine tumours that secrete catecholamines. Methoxycatecholamines in free plasma or fractionated methoxycatecholamines in 24-hour urine collections are the recommended tests for the diagnosis of pheochromocytoma, based on which patients are referred for surgical removal of the adrenal gland. However, false-positive results from these tests remain a problem and some patients are referred for adrenalectomy due to ...

The spectrum of lesions in the sellar and parasellar region includes a wide range of diseases, from the most common adenoma to various non-adenomatous lesions i.a. empty sella syndrome, stroke and congenital conditions. We identified a case of meningitis in which the images initially suggested the presence of a pituitary macroadenoma. The 45-year-old patient without chronic diseases was admitted to the Department of Neurology due to severe headaches and vomiting that had woken...

Metastatic involvement of the pituitary gland is a rare phenomenon with various clinical and radiological manifestations, but it is clinically important and requires appropriate and early diagnosis. The posterior lobe of the pituitary gland is more often involved, so we expect that AVP deficiency would be the most common clinical manifestation of pituitary metastasis. Presentation without involvement of the posterior lobe, without AVP deficiency and with anterior lobe hypofunc...

Second malignant neoplasm following irradiation is a rare sequelae of primary childhood malignancies. Irradiation is a well-known risk factor for the development of benign and malignant thyroid tumors. Here we present the case of a young woman with medulloblastoma, who later developed thyroid cancer and eventually was also diagnosed with a cholangiocarcinoma.At the age of 7 the patient presented with headaches, nausea, vomiting, fatigue, somnolence and d...