Endocrine Abstracts

Infertility affects 1 in 20 Australia men of reproductive age, and for the majority, the causes remain unknown. In an effort to identify addition key pathways and proteins involved in male fertility we undertook a random mouse mutagenesis screen. In the process we identified the Mot1 line which carries a point mutation in the Rabl2 gene. Mot1 homozygous male are sterile, have a reduced daily sperm output, short sperm tails and drastically reduced progressive sperm motil...

Background: Cushing’s syndrome is defined as a hormonal disorder resulting from elevated serum cortisol leading to specific physical and biochemical abnormalities that might be detrimental to life itself. Majority is caused by steroid intake while endogenous sources although representing only a minority of patients often lead to delay in diagnosis. Ectopic ACTH syndrome considered a rare entity are usually found as small cell lung cancer and carcinoid tumors. Rare types o...

Background and significance: Endogenous Cushing’s syndrome is a rare disease entity approximately 13 cases per million population. In Asia, and specifically in the Philippines incidence is unknown. As well, it’s clinical presentation among Filipinos is not well described. The local epidemiology of obesity, diabetes and hypertension are different from other countries. These conditions are the usual initial differential diagnosis for Cushing’s syndrome. This repor...

Well-differentiated thyroid carcinoma (WDTC) is the most common thyroid malignancy. Although, associated with good prognosis, it may have a highly recurrent and fatal outcome in selected groups of patients. Filipinos in particular were reported to be the ethnic group with the highest incidence of thyroid cancer in several studies. Thyroid cancer among Filipinos were also observed to be more aggressive and recurrent in nature. This paper aims to describe the experience of a Phi...

The incidence of recurrent well-differentiated thyroid cancer (WDTC) continues to rise as better imaging test and more sensitive monitoring improves disease surveillance. Despite its excellent prognosis, increasing morbidity from recurrent diseases continues to affect long-term outcome of most patients leading to higher medical cost and poorer quality of life. Filipino ethnicity in particular was reported to have the highest incidence of thyroid cancer with a highly aggressive...

Follicular variant papillary thyroid cancer (FV-PTC) appeared to be the most common subtype representing between 9 and 22.5% of all PTC cases. With the dramatic increase in thyroid cancer incidence, FV-PTC has also been increasingly diagnosed in recent times. Despite its high incidence, the clinical behaviour, prognosis and outcome of FV-PTC remains controversial and challenging for most physicians. This study aims to compare the disease characteristics of FV-PTC with Classic-...

Post operative hypocalcemia poses significant resistance to early discharge of total thyroidectomised patients. Our institute implemented a new protocol to give empirical calcium and vitamin D supplements since Jan 2012 to prevent symptomatic hypocalcemia and facilitate early discharge. 75 (88.24%) out of 85 eligible cases did not have significant or symptomatic hypocalcemia and can be discharged by within 1 day with only two (2.67%) patients being readmitted electively for si...

Introduction: Fine needle aspiration (FNA) is used, in conjunction with clinical assessment and imaging, to assess thyroid nodules for suspected malignancy. Cytological assessment of FNA samples involves both a text report and classification into a diagnostic category Thy1–Thy 5. The cytological category Thy 2 describes a FNA sample assessed to be non-neoplastic. Current BTA guidelines recommend two FNA samples, 3–6 months apart, are obtained to exclude neoplasia.</p...

Patients with sellar masses (SM) undergoing transsphenoidal surgery (TSS) have a significant risk of transient or permanent endocrine dysfunction; therefore, in-hospital endocrinology consultation (IHEC) is recommended for these patients. However, routine assessment of all TSS patients by a specialized team is not feasible outside select centers. We developed an IHEC guide for TSS patients in December 2015 to identify those patients who would require perioperative IHEC. We con...

Context: ß-CTX are considered useful markers of response to denosumab and other anti-resorbtive treatments for osteoporosis. We report an unusual case of a completely absent effect of both denosumab and bisphosphonates on bone resorption markers.Case description: In 2017 a 74-year-old woman sought medical attention at the Endocrinology Unit of Policlinico di Sant’Orsola for the evaluation of an adrenal adenoma associated with osteoporosis. Meno...