Endocrine Abstracts

Ever since the approval of recombinant human TSH (rhTSH) prior to remnant ablation and whole body scans, usage of levothyroxine withdrawal for TSH elevation is decreasing. However the readily unavailability of rhTSH in some countries and the cost are its disadvantages. Withdrawal of levothyroxine, however, exposes the subjects to hypothyroidism.A 26-year-old male patient admitted to our hospital for a routine checkup with no symptoms. His TSH level was 7...

Introduction: The diagnosis of the metabolic syndrome is less definite in children and adolescents compared to adults. The International Diabetes Federation (IDF) and National Cholesterol Education Program Adult Treatment III guidelines (NCEP ATP III) have proposed two different criteria for its diagnosis in these age groups. In this study we planned to compare these two criterias in detecting the metabolic syndrome in obese and overweight adolescents in a study group in North...

Introduction: The risk for thyroid malignancy is higher in subjects with Graves’ disease particularly papillary thyroid cancer (PTC). However, coincidence of both PTC and follicular thyroid cancer (FTC) in these subjects is rare. In this case report we present a subject with Graves’ disease with a pathological diagnosis of PTC and FTC having aggravated orbitopathy following remnant ablation.Case report: A 53-year-old subject was referred to our...

Introduction: The aim of this study was to determine the frequency and types of accompanying malignancies in Turkish subjects with differentiated thyroid cancer (DTC) residing in the northern region of Cyprus.Subjects and methods: We retrospectively analysed 567 subjects with a diagnosis of DTC in the Departments of Endocrinology and Nuclear Medicine.Results: Four hundred and forty-eight (79%) were females and 119 (21%) were males....

Introduction: Papillary thyroid cancer (PTC) is the most frequently observed type of thyroid cancer. It usually shows favorable prognosis although some aggressive pathological subtypes have been defined. In this case report we present an aggressive form of PTC with previously non defined histological features.Case report: At initial evaluation the subject presented with a mass in the neck. Neck ultrasonography (USG) revealed a 49×23 mm hypo echoic n...

Introduction: Radioactive iodine (RAI) for remnant ablation and post RAI scanning are very frequently employed modalities in differentiated thyroid cancers (DTC). Radioactive iodine is secreted into physiological secretions such as tears and urine. In this case report we present a case who received RAI for DTC with a surprising post RAI scan compatible with multiple metastases.Case report: A 53-year-old male subject underwent total thyroidectomy and ipsi...

Primary hyperparathyroidism is the most frequent cause of hypercalcemia in adults. Hypercalcemia due to primary hyperparathyroidism is generally mild-moderate. Severe hypercalcemia in these cases is rare. Coexistence of severe hypercalcemia and hypercalcemic encephalopathy is very unusual with a very limited number of reported cases.A 50-year-old female presented to the Emergency Department with symptoms of nausea and severe abdominal pain. Her serum cal...