Searchable abstracts of presentations at key conferences in endocrinology

ea0014p302 | (1) | ECE2007

Fewer and fewer thyroidectomies in the treatment of Graves’ disease

Radu Diaconescu Mihai , Glod Mihai , Costea Ioan

Background: Surgery which was until sixty years ago the only treatment available for Graves’ disease (Gd) is now the last recommended therapeutical option, the number of thyroidectomies (Tx) being in continous decrease. American physicians prefere radioiodine use while their European and Japanese colleagues like better long-term administration of antithyroid drugs.Patients and methods: A retrospective study carried out on 52 consecutive patients wit...

ea0022p171 | Clinical case reports and clinical practice | ECE2010

Parathyromatosis coincidentally associated with papillary (Sclerosing) microcarcinoma of the thyroid

Diaconescu Mihai Radu , Glod Mihai , Grigorovici Mirela

Background: The aim of this report is to describe a fortuitely discovered association between parathyromatosis and occult sclerosing papillary carcinoma of the thyroid.Case description: A 56-year-old woman presented with pyelic relapsed stone, bone pains and iPTH=348 ng but normal calcemia as manifestations of recurrent primary hyperparathyroidism after a right inferior parathyroid adenoma resection done elsewere 6 years ago Sonography showed a 5 mm hypo...

ea0037ep1256 | Clinical Cases–Thyroid/Other | ECE2015

Clinical features and surgical approach of thyroid pathology in patients over 65 years

Diaconescu Mihai Radu , Costea Ioan , Glod Mihai , Grigorovici Mirela , Diaconescu Smaranda

Introduction: The significant increase in the average lifespan of the general population lead to a proportional enhancement in the prevalence of benign and malignant thyroid conditions and equally the number of surgeries for this pathology.Patients and method: In a personal series of 464 thyroid disorders undergoing surgery over two decades we recorded 51 patients (21.5%) aged over 65 years of which 11 (2.4%) having over 75 years. Demographic, clinical a...

ea0032p330 | Clinical case reports - Thyroid / Others | ECE2013

Persimonious indications for thyroidectomy in chronic thyroiditis

Diaconescu Mihai Radu , Glod Mihai , Costea Ioan , Grigorovici Mirela , Diaconescu Smaranda

Background: Chronic inflammatory processes of the thyroid represents an important proportion of the gland’s pathology but the majority of them must be treated by nonsurgical methods, thyroidectomy remaining circumstantially indicated.Patients and methods: In 14 cases (3%) from 464 operations for different thyroid lesions lesions we have encountered authentic inflammatory processes in nine cases of Hashimoto’s thyroiditis (two associated with pa...

ea0026p536 | Bone/calcium/Vitamin D | ECE2011

Total parathyroidectomy without autotransplantation in the surgical treatment of ‘refractory’ renal hyperparathyroidism

Diaconescu Mihai Radu , Glod Mihai , Costea Ioan , Grigorovici Mirela , Diaconescu Smaranda

Background: The optimal surgical technique in patients with refractory renal hyperparathyroidism (RHP) on hemodialysis for end stage renal disease is still a point of debates.The high percentage of recurrences after standard surgical procedures, i.e. subtotal parathyroidectomy (SPtx) and total parathyroidectomy with autotransplantation (TPtx+At) reactualised the practice of total parathyroidectomy (TPtx).Patients and methods: Forty...

ea0016p65 | Bone and calcium | ECE2008

Surgical management of renal hyperparathyroidism: a preliminary series report

Radu Diaconescu Mihai , Ioan Costea , Mihai Glod , Mirela Grigorovici , Adrian Covic

Background: Renal hyperparathyroidism (RHPT) is a frequent complication of uremic patients on hemodialysis and despite various advances in medical therapy parathyroidectomy is necessary in a semnificative number of cases.Patients and methods: We reviewed our experience (first in Romania) regarding thirtyfour patients with RHPT operated on in our clinic between 1994 and 2007 evaluating the diagnosis methods, surgical indications, techniques and results to...