Searchable abstracts of presentations at key conferences in endocrinology

ea0049ep127 | Clinical case reports - Pituitary/Adrenal | ECE2017

The case of adrenal incidentaloma due to unrecognized nonclassic congenital adrenal hyperplasia

Tancic-Gajic Milina , Ivovic Miomira , Marina Ljiljana , Arizanovic Zorana , Stojanovic Zorana , Kendereski Aleksandra , Vujovic Svetlana

Introduction: A rare cause of adrenal incidentaloma is congenital adrenal hyperplasia (CAH). Nonclassic CAH is one of the most frequent autosomal recessive disorders. Most cases of nonclassic CAH are never diagnosed due to very mild symptoms.Case report: A 62-year-old woman admitted at our Department for right adrenal incidentaloma sized 39×34×38 mm confirmed by MRI. She was asymptomatic. Her past medical history included stabile hypertension, ...

ea0037ep1257 | Clinical Cases–Thyroid/Other | ECE2015

Incidental papilar carcinoma and large goitre in extremely obese patient with excessive daytime sleepiness

Tancic-Gajic Milina , Vujovic Svetlana , Vukcevic Miodrag , Ivovic Miomira , Marina Ljiljana , Arizanovic Zorana , Micic Dragan

Introduction: In adults, the most common cause of obstructive sleep apnoea is obesity. Other causes are anatomical craniofacial bony abnormalities, neurologic syndromes, alcohol and sedatives use, hypothyroidism, acromegaly and rarely thyroid goitre. Untreated obstructive sleep apnoea can lead to serious complications, including cardiovascular diseases, accidents, and premature death.Case report: A 56-year-old patient was referred to a pulmologist due to...

ea0035p233 | Clinical case reports Pituitary/Adrenal | ECE2014

Primary thyroid lymphoma in a patient with adrenal incidentaloma

Ivovic Miomira , Marina Ljiljana , Vujovic Svetlana , Tancic-Gajic Milina , Arizanovic Zorana , Rakovic Dragana , Micic Dragan

Introduction: Primary thyroid lymphoma (PTL) presents between 2 and 8% of all thyroid malignancies. Rapidly enlarging neck mass, especially in women with Hashimoto’s thyroiditis should steer the diagnostic procedures in the way of PTL. The most common type is diffuse large B-cell lymphoma. Adrenal incidentaloma are incidentally discovered adrenal masses without prior suspicion of adrenal disease.Case report: A 71-year-old woman with an adrenal incid...

ea0070aep840 | Reproductive and Developmental Endocrinology | ECE2020

Hormonal profile of menopausal women receiving androgen replacement therapy: A meta-analysis

Santi Daniele , Spaggiari Giorgia , Sojat Antoan S , Pandurevic Srdjan , Maseroli Elisa , Marina Ljiljana

Background: Ovarian and adrenal aging leads to a progressive decline in androgens levels and deleterious effects on the quality of life. Despite this, specific hormone replacement is not routinely recommended in the management of women with a physiological or pathological decline in their production, mainly due to the lack of long-term follow-up safety data.Aim of the study: To evaluate and summarize the existing data about hormonal profile changes in me...

ea0032p227 | Clinical case reports – Pituitary/Adrenal | ECE2013

Corticomedullary mixed adrenal tumor

Ivovic Miomira , Vujovic Svetlana , Tancic-Gajic Milina , Marina Ljiljana , Arizanovic Zorana , Micic Dragan

Introduction: Adrenal glands consist of two parts: adrenal cortex and adrenal medulla acting as two separate organs due to distinct structure, function and embryologic origin. Corticomedullary mixed tumor is an adrenal tumor mass which consists of mixed population of both adrenal cortical cells and medullar chromaffin cells.Case report: A 36-year-old woman was admitted to our Clinic with hypertensive episode, headache and palpitation. Ultrasound and CT c...

ea0032p251 | Clinical case reports – Pituitary/Adrenal | ECE2013

Malignant schwannoma in a patient with hypopituitarism, congenital hydrocephalus, atrial septal defect and agenesis of right kidney

Marina Ljiljana , Vujovic Svetlana , Barac Marija , Ivovic Miomira , Tancic-Gajic Milina , Arizanovic Zorana , Micic Dragan

Introduction: Schwannomas are tumors derived from myelin sheat of nerves which can displace and compress nerves causing pain, weakness and numbness. Very rarely they become malignant.Case report: Thirty-one years old patient was hospitalized at our Department to evaluate hypopituitarism. He was born at term by cesarean section, with hydrocephalus and did not start to breath spontaneously. A few months later, he was diagnosed with scoliosis thoracalis dup...

ea0026p607 | Clinical case reports | ECE2011

Hypoglycemia in patient with large intraabdominal tumor

Ivovic Miomira , Vujovic Svetlana , Tancic-Gajic Milina , Marina Ljiljana , Djukic Vladimir , Micic Dusan , Micic Dragan

Introduction: Various non pancreatic tumors can cause hypoglycemia. Usually they are mesenchymal, retroperitoneal tumors or fibrosarcomas. Hemangiopericytoma is a rare type of mesenchymal tumor, which mostly develops in soft tissue and originates from the Zimmermann’s pericyte (modified smooth muscle cells).Case report: Fifty-nine-years old female patient with hypoglicemia was addmited to our department. Physical finding showed mild obesity and hype...

ea0022p6 | Adrenal | ECE2010

Supine and upright plasma renin (PR) and aldosterone (ALD) in patients with adrenal incidentaloma (AI)

Ivovic Miomira , Stojanovic Milos , Tancic-Gajic Milina , Marina Ljiljana , Barac Marija , Vujovic Svetlana

AI are incidentally discovered adrenal masses without any prior suspicions of adrenal disease. They are most frequently hormonally inactive, with arterial hypertension (AH) as a common finding.The aim was to determine upright and supine PR and ALD levels in patients with AI, normotensive and hypertensive.Two hundred and eight patients (148 women and 60 men, mean age 55.08±11.02 years, mean BMI 27.91±4.6 kg/m2) ...

ea0020p35 | Adrenal | ECE2009

Synacten test in patients with adrenal incidentaloma

Ivovic Miomira , Stojanovic Milos , Tancic-Gajic Milina , Marina Ljiljana , Vujovic Svetlana , Drezgic Milka

Considering that adrenal tumors are frequent in patients with congenital adrenal hyperplasia (82% in homozygote and 45% in heterozygote), Synacten test was at first introduced as marker of congenital adrenal deficiency in patient with adrenal incidentaloma. Recent studies showed normal and exaggerated cortisol response in more than 50% of patient with nonhypersecretory adrenal incidentaloma and more than 70% of patients with adrenal incidentaloma and subclinical hypercorticism...

ea0016p43 | Adrenal | ECE2008

Insulin sensitivity calucated by HOMA, QUIQI and G/IR in patients with adrenal incidentaloma

Ivovic Miomira , Vujovic Svetlana , Stojanovic Milos , Tancic-Gajic Milina , Marina Ljiljana , Barac Marija , Drezgic Milka

Many studies have shown insulin resistance (IR) in majority of patients with adrenal incidentaloma. The euglycaemic hyperinsulinaemic glucose clamp technique is still considered as ‘golden standard’ for evaluation of insuline sensitivity. These methods are also complicated, labor-intensive procedure better for small research studies. Today, several surrogate indexes for insulin sensitivity were introduced such as: HOMA, QUIQI or G/IR. Some studies showed that QUIQI h...