Searchable abstracts of presentations at key conferences in endocrinology

ea0037ep1273 | Clinical Cases–Thyroid/Other | ECE2015

Adrenal embolisation in severe ectopic Cushing: unusual case and extraordinary measures

Bilbao Ismene , Antunano Luisa , Olaizola Izaskun , Chacon Ana , Elias Estela , Egana Nerea , Garcia Cristina , Aranburu Maite , Yoldi Alfredo , Goena Miguel

Introduction: Pancreatic ACTHomas have a poor prognosis with severe and rapidly progressive clinical courses, influenced by hypercortisolaemia thus whenever possible, control of the cortisol levels should be obtained to reduce complications. We report the use of adrenal embolisation in a case of a life threatening paraneoplastic Cushing.Case: A 51-year-old woman with a negative past medical history complained of general weakness. Cushing’s syndrome ...

ea0035p234 | Clinical case reports Pituitary/Adrenal | ECE2014

Takotsubo cardiomyopathy triggered by pheocromocytoma crisis

Bilbao Ismene , Yoldi Alfredo , Garcia Cristina , Egana Nerea , Aranburu Maite , Luisa Antunano Maria , Olaizola Izaskun , Elias Estela , Goena Miguel

Introduction: Pheochromocytomas are a rare catecholamine secreting tumours that can mimic numerous stress-associated disorders, such as Takotsubo cardiomyopathy, or transient left ventricular apical ballooning which is brought on by an acute coronary vasospasm due to an excessive sympathetic stimulation.Case ReportA 68-year-old woman, with previous medical history of hypertension and type 2 diabetes, who was on 30 units of isuline ...

ea0070ep107 | Bone and Calcium | ECE2020

Ectopic parathyroid hormone secretion by a squamous cell carcinoma of the floor of the mouth with poor response to cinacalcet

Bilbao Ismene , Egaña Nerea , Rojo Jorge , Garcia Cristina , Olaizola Izaskun , Agea Leire , Aranburu Maite , Yoldi Alfredo , Goena Miguel

Introduction: Ectopic PTH secretion is rare, to our knowledge, with only 27 cases reported in the literature and 3, ( a tonsil, a lung and a penile) due to squamous cell carcinoma .In the few cases reported to date it appears to be more common in males and in those over the age of 60. The management of the hypercalcemia in this setting is complicated. We are aware of 2 other case reports in which cinacalcet was used in this context, but as in our case, unsuccessfully.<p cl...

ea0032p233 | Clinical case reports – Pituitary/Adrenal | ECE2013

Good response to temozolamide therapy in a man with a prolactin secreting pituitary carcinoma

Bilbao Ismene , Coca Mariano Alvarez , Garcia Cristina , Egana Nerea , Aranburu Maite , Yoldi Alfredo , Antunano Luisa , Goena Miguel

Introduction: Pituitary carcinomas are rare and their management is difficult, because they exhibit a continued growth and metastatic dissemination despite of multimodal and aggressive treatments. Temozolamide, has shown a substantial response rates in pituitary carcinomas.We report the case of a patient with a malignant prolactinoma successfully treated with temozolamide.Case report: The patient, a 62-year-old male, consulted with...

ea0056p846 | Pituitary - Clinical | ECE2018

The use of colonoscopic screening in acromegaly in our everyday practice revisited: how compliant with guidelines have we been?

Bilbao Ismene , Egana Nerea , Ciriza Maite Perez de , Olaizola Izaskun , Garcia Cristina , Agea Leire , Aranburu Maite , Yoldi Alfredo , Goena Miguel

Introduction: Although it has been suggested that there is a strong association between acromegaly and premalignant colonic lesions and colon cancer, it seems that in real – life practice the adherence to ACRO colonoscopy guidelines might be lower than expected (as recently shown by M.Parolin et cols).Methods: We retrospectively reviewed the case records of the 54 patients with acromegaly seen in our center since 1994.We analyzed the findings of 27 ...

ea0049ep869 | Clinical case reports - Pituitary/Adrenal | ECE2017

Coexistence of thyrotropinoma and chronic autoimmune thyroiditis, a diagnostic challenge

Olaizola Izaskun , Egana Nerea , Bilbao Ismene , de Ciriza Maite Perez , Antunano Maria Luisa , Elias Estela , Garcia Cristina , Aranburu Maite , Yoldi Alfredo , Goena Miguel Maria

Introduction: TSHomas are rare TSH producing tumors, whereas chronic autoimmune thyroiditis is a frequent condition. Patients with TSHoma are characterized by increased circulating levels of peripheral thyroid hormones, but when a chronic autoimmune thyroiditis is associated, they may be normal or low, making the diagnosis challenging.Case report: A 55 year-old woman, with previous medical history of obesity and impaired fasting glucose, was diagnosed of...

ea0037ep1198 | Clinical Cases–Pituitary/Adrenal | ECE2015

Intestinal obstruction and bowel perforation as a presenting feature of a phaeochromocytoma

Olaizola Izaskun , Elias Estela , Chacon Ana Maria , Bilbao Ismene , Egana Nerea , Garcia Cristina , Aranburu Maite , Matteucci Tomas , Yoldi Alfredo , Goena Miguel

Introduction: Phaeocromocytomas are a rare catecholamine secreting tumours that can present in multiple ways. The classic triad of symptoms consists of episodic headache, sweating, and tachycardia. Most patients do not have the three classic symptoms. Sustained or paroxysmal hypertension is the most common sign. Among less common symptoms and signs constipation has been described and few cases of megacolon and phaeochromocytoma have been published.Case r...