Endocrine Abstracts

Introduction: Tumor-induced osteomalacia is a rare paraneoplastic syndrome characterized by the presence of phosphaturic hormone-secreting mesenchymal tumors - fibroblast growth factor 23 (FGF-23), which causes hypophosphatemia and osteomalacia. These tumors are small, frequently infiltrate the surrounding tissues and are located in the connective or bone tissue. Usually, these tumors are benign, but malignant tumors have also been reported.Case report: ...

Introduction: Pituitary gigantism is a rare disorder characterized by growth hormone (GH) excess that occurs before epiphyseal growth plates fusion leading to rapid and excessive linear growth in childhood and very tall adult stature. It can be sporadic or coexist with genetic disorders such as FIPA, X-LAG, McCune-Albright, Carney complex, MEN 1 or 4, and Neurofibromatosis type 1.Case report: We present a case of a 12 years old boy with no medical histor...

Introduction: Pregnancy-related osteoporosis represents a very rare pathology, which manifests through fractures that appear during pregnancy or early postpartum in patients who didn’t have related risk factors prior to the pregnancy. Due to the low number of cases reported, this pathology raises problems regarding diagnosis, etiology and the optimal treatment scheme, as we are going to illustrate through the following case. The etiology of this pathology is unknown &#150...

Our study assesses the diagnostic performance of 2D shear-wave elastography plane-wave ultrasound (2D-SWE PLUS) in detecting thyroid cancer. Using conventional ultrasound (2B-mode) and 2D-SWE PLUS with SuperSonic Mach30 equipment, 270 thyroid nodules were assessed (Supersonic Imagine, France). In every instance, the outcomes and the pathology reports were compared. 69 (or 25.5%) of the 270 nodules were malignant. 2D-SWE PLUS parameters demonstrated great diagnostic accuracy. T...

Introduction: There is variation in practice with regards to preoperative optimization protocols and postoperative management in pheocromocytoma and related paraganglioma (PPGL). We aimed to review the literature on perioperative strategies to reduce morbidity and mortality following surgery for PPGL and enhance understanding of optimal approaches.Methods: Two databases were systematically searched in January 2020 for terms related to perioperative manag...

Infertility affects milions of couples worldwide. Determining the exact cause represents a real challenge and may require a complex work-up.Objective: To asses the main etiological factors of female infertility and the best treatment.Methods: Retrospective study which included 150 women diagnosed with infertility in a Romanian tertiary center. The median age was 30.5 years (20–41), 65.3% (n=98) of the patients were di...

Introduction: Persistent or intermittent postoperative discordance between growth hormone (GH) after OGTT and insulin-like growth factor-1 adjusted for age and gender (IGF-1) is up to 39% according to different studies. The aim of this study was to evaluate the impact of this discrepancy (normal GH and elevated IGF1 or vice versa) over the risk of biochemical and tumour recurrence after initial successful surgery for acromegaly.Methods: In this retrospec...

Mammary carcinomas with endocrine differentiation are an uncommon subtype of breast carcinomas that are morphologically indistinguishable from low-grade endocrine neoplasm arising in other organs.Neuroendocrine cells are present in mammary tissue. Neuroendocrine differentiation can be found in benign and malign lesions of various organs. Recent studies have reported the existence of neuroendocrine differentiation in breast carcinomas as being between 3% ...

Purpose: To describe pre- to post-treatment changes in clinical activity score (CAS) in patients with Graves orbitopathy treated with tocilizumab (TCZ).Introduction: Graves’ ophthalmopathy (GO) is an autoimmune disorder that affects 30-50% of patients with Graves’ disease. The first-line treatment of moderate to severe GO according to EUGOGO is intravenous glucocorticoids, but 20-30% of the cases appear to be corticosteroid refractory. Steroid-...

Introduction: The connection between the pharynx and thyroid is close, so in the situations of concomitance: thyroid nodules and pharynx infiltration is very difficult to establish the primary lesion. Extralaryngeal spread of laryngopharyngeal cancer to the thyroid gland can occur by three pathways: direct extension, lymphatic spread or hematogenous spread. Of these three mechanisms, direct extension is the main mechanism because of the close anatomical relationship of the thy...