Endocrine Abstracts

Endorsed by the European Journal of Endocrinology )-->Central neck dissection for papillary thyroid cancer (PTC) was initially proposed by Scandinavian authors in the late 70’s on the following grounds: i) the common presence of obvious metastatic nodal disease in compartment VI; ii) compartment VI is the first step in lymph node dissemination of PTC; and iii) prevents cancer recurrence in the ce...

Case historyA 27 year-old woman presents with a right 3 cm. papillary thyroid cancer (PTC) with lateral cervical lymph node metastasis. Her past history is irrelevant. Treatment consists of total thyroidectomy plus lymphadenectomy of compartments II-III-IV-VI. iPTH and s-Ca concentrations at 24 h were 6 pg/ml and 7 mg/dl respectively. Replacement therapy (calcium + calcitriol) was required for three months (protracted hypoparathyroidism). Pathology r...

Introduction: Gonadal and erectile function in patients submitted to heart transplantation has not been previously investigated.Aim of the study: To evaluate gonadal and sexual function in patients successfully submitted to cardiac transplantation.Materials and methods: Fifty-two patients, aged 20–78 years (mean±S.D.: 54±15 years; range 20–78 years) transplanted 88±65 (range 4–220) month...

Introduction: Prembrolizumab, a programmed cell death protein 1 (PD-1) inhibitor, is one of the immune checkpoint inhibitors (ICI) that have revolutionized cancer therapy. However, ICIs can also trigger immune-related adverse events (irAEs) in different organ systems, including endocrine glands. While thyroid dysfunction is among the most common endocrinopathies reported, ICI-induced diabetes mellitus (DM) is extremely rare, with an overall incidence ranging from 0.9 to 2%.</p...

Introduction: The Visceral Adiposity Index (VAI) has been proven to be an indicator of adipose distribution and function that indirectly expresses cardiometabolic risk, in particular in specific populations such as women with polycystic ovary syndrome, acromegaly or type 2 diabetes. Little information is known about its usefulness in the definition of cardiometabolic risk in ageing population.Objective: To study VAI in relation to metabolic and hormonal ...

Background: Childhood cancer survivors (CCS) are at high risk of 25-hydroxivitamin D (25(OH)D) inadequacy and the lack of a consensual definition has hampered its epidemiological study. Despite international recommendations, bone health and vitamin D inadequacy (VDI) are still quite undervalued, even in a high-risk population as CCS, due to disease treatment, physical limitations and insufficient solar exposure. Objectives: Our aims were to determine the...

Cushing’s syndrome (CS) is associated with a considerable risk of complications including thromboembolic events (TE). They occur mostly within the first 2–3 months postoperatively. When present before surgery, CS has high rates of perioperative mortality and morbidity. The benefit of steroidogenesis inhibitors after TE is not fully known. Furthermore, little guidance is available regarding TE assessment/management in CS. We report a case of a 34-year-old male admitte...

Background: Prolactinomas (PRL) are pituitary adenomas mainly characterized by hyperprolactinemia. In addition to the endocrine effects of prolactin, metabolic alterations have been described in PRL patients. Changes in inflammatory parameters have recently been identified in pituitary adenoma patients. Since both, metabolic (MM) and inflammatory markers (IM) showed promising results in characterization/prognosis of tumor patients, it is tempting to speculate whether those mig...

False elevation of estradiol(E2) due to immunoassay interference is a rare but important phenomenon reported in the literature. It is most commonly related to cross-reactivity(CR) from drugs sharing structural similarity with E2, namely fulvestrant and exemestane. These laboratory interferences(LI) can lead to unnecessary investigation/inappropriate treatments. Therefore, in such instances, a more selective and sensitive method is required. We present the case of a young femal...

Introduction: The differential diagnosis of sellar masses is broad and includes - apart from the most common pituitary adenomas - other neoplasms such as craniopharyngiomas, germinomas, gliomas, meningiomas, and others. Hemangiopericytoma (HPC) is a rare vascular tumor arising from pericytes that may appear at any site of the body. We report an unusual case of an intrasellar HPC.Case Report: A 63-year-old woman was admitted to our hospital complaining ab...