Endocrine Abstracts

Background: The increased frequency and quality of abdominal imaging in recent years has led to a dramatic increase in the number of adrenal masses being discovered. This led to the setting up of an adrenal multi-disciplinary team (MDT) and the development of a pathway for managing patients with an adrenal ‘incidentaloma’. We investigated for evidence of hormonal activity in many of these patients.Method: A retrospective audit was carried out f...

History: A 62-year-old female presented with a 15-year history of tiredness and headaches. Clinically she had signs of acromegaly. This was confirmed with IGF1 688 ug/l and with a 2 h value (post GTT)of growth hormone 13.9 miu/l. MRI scan revealed a 3.5×3.5×2.5 cm mass in the pituitary fossa extending laterally to involve the left cavernous sinus and suprasellar extension causing moderate splaying of the optic chiasm. The left trigeminal nerve and internal carotid ar...

History and examination: A 46-year-old gentleman presented with right sided goitre which had increased in size over one month. He previously had a left thyroidectomy for non-toxic goitre.As a child he had several lipomas removed. On examination he has mucosal neuromas, an AV malformation on his left wrist, white papules on his hands and trichilemmonas on his legs. He has macroencephalopathy, 64.4 cm round. The right lobe of the thyroid was enlarged and h...