Endocrine Abstracts

Background: Adreno cortical carcinoma (ACC) is a rare malignancy associated with aggressive biological behavior and poor outcome. The reported incidence in literature is about approximately two cases per million population’s.These tumors might be functional or non-functional depending on their ability to secrete various adrenocortical hormones. ACC occurring in children and adults show distinct characteristics and there is not much literature regarding the differences. Si...

Introduction: Thyroid surgery was initially considered as “horrid butchery” due to associated high morbidity and mortality, however with the advent of safe surgical techniques and improved understanding of thyroid physiology, thyroid surgery has become safer. Still there are certain intra-operative factors, as described in Difficulty Thyroidectomy Scale (DTS)which are thought to be associated with adverse outcome. However anatomical parameters also need to be address...

Introduction: Noise in the operating room is an ongoing problem and impacts the outcome of surgery. Noise as stressor can produce a startle reaction and activate fight or flight response of the autonomic and endocrine system. The psychobiology of the stress as assessed by salivary cortisol level is a sensitive measure of allostatic load. In this study, we correlated salivary cortisol levels of the surgical team with noise measurement and also whether the noise in OR subjective...

Background: Thyroidectomy is the common most common endocrine surgical procedure varies from Scalpel to Robotic transoral thyroidectomy. Colloid nodules are common and easily operable without any difficulty. We report a phenomenon where in the surgery becomes difficult and lead to complications if not thought with this phenomenon – colloid leak.Material and Method: The endocrine surgeon (Associate Professor) has been involved in training of over 25 ...

A 45-year-old lady from the Iodine - deficient Himalayan belt presented to us with a gradually progressive, painless goiter for more than 20 years. Such goiters were common in her village. She neither had symptoms of hyper/hypothyroidism nor any compressive symptoms. She had four living issues and as per her, the goiter would increase in size during the second trimester of each pregnancy. On examination, she had a huge thyroid swelling involving both lobes and isthumus, measur...

Background: Papillary Thyroid Carcinoma after Radioactive Iodine therapy for Graves’ disease is rare with few cases reported in literature. Presentation of case A 28 years gentleman, presented with multiple non tender swellings in the anterior aspect of the neck, insidious in onset, initially started as a single swelling in the left side of the size 3×2 cm. Three years prior, he received I 131 therapy for Graves thyrotoxicosis. Thereafter, developed hypothyroidism af...

Introduction: In the modern day busy clinical practice the communication between patient and care giver is at minimal level. The patients feel apprehensive when advised about the surgical intervention. In such situation they feel the need of detail information from the care givers.Story telling is a tool which can be used for this problem. We intended to study the efficacy of storytelling technique on patients undergoing Hemithyroidectomy for benign cytology.<p class="abst...