Searchable abstracts of presentations at key conferences in endocrinology

ea0032p142 | Calcium and Vitamin D metabolism | ECE2013

Influence of preoperative characteristics in the result of Tc99m-sestaMIBI scan in patients with primary hyperparathyroidism

Egana Nerea , Lizarraga Aitzol , Paja Miguel , Elorza Ramon

Primary hyperparathyroidism (PHP) is a common endocrine disorder. It is due to a single parathyroid adenoma in 80% of cases, most of the remainder due to hyperplasia of all four parathyroid glands. The only curative procedure is parathyroidectomy, but preoperative localization can be difficult. Isotope scanning with sestaMIBI is considered to be useful in localizing any parathyroid adenoma to help guided surgery. The aim of this study is demonstrated the influence of biochemic...

ea0020p317 | Clinical case reports and clinical reports | ECE2009

Postmenopausal hyperandrogenism: report of two cases

Paja Miguel , Lizarraga Aitzol , Egana Nerea , Ibarrola Rafael , Gorostiaga Alvaro

In postmenopausal women with clinical hyperandrogenism Cushing’s syndrome and adrenal/ovarian neoplasms must be excluded, but radiological and biochemical studies are not always useful for localizing the source of androgens.Case 1: A 75-year-old woman developed alopecia and progressive hair growth on the chest and abdomen over 4 months. Five years before a successful parathyroidectomy had been carried out. Hormonal evaluation: Testosterone (T): 5.84...

ea0081ep81 | Adrenal and Cardiovascular Endocrinology | ECE2022

Percutaneous ethanol ablation of large adrenal tumor

Nebreda Inmaculada Venegas , Zunzunegui Nerea Egana , Ortega Cristina Elias , Achucarro Ane Amilibia , Arrieta Alfredo Yoldi

Introduction: Percutaneous ablation has been used over the years for the minimally invasive treatment of liver, kidney, thyroid and, although less frequent, adrenal cysts. We describe the case of a young patient with a large adrenal cyst treated with ethanol ablation, avoiding adrenalectomy.Clinical case: We present a 32-year-old woman who is referred to Endocrinology due to a 10 cm adrenal incidental finding in an MRI performed due to disc herniation. A...

ea0026p513 | Bone/calcium/Vitamin D | ECE2011

Influence of thyroid disease in diagnostic accuracy of Tc99m-sestamibi scintigraphy in patients with primary hyperparathyroidism (PHP)

Egana Nerea , Paja Miguel , Gutierrez Maria Teresa , Rodriguez Maria Luisa , Goni Fernando , Ugarte Estibaliz , Espiga Javier

Bilateral cervical exploration has been the gold standard in parathyroid surgery. Nowadays, the preoperative localization procedures have facilitated the minimally invasive surgery. This study aims to analyze the influence of thyroid disease in Tc99m-sestamibi scintigraphy (MIBI) results.A series of 154 patients with PHP who underwent parathyroidectomy was reviewed. Patients were divided into two groups: group 1 (G1, 58 patients) with thyroid diseases, a...

ea0016p809 | Thyroid | ECE2008

Simultaneous papillary (PTC) and medullary (MTC) thyroid cancer: more than a coincidence? Report of two cases

Oleaga Amelia , Paja Miguel , Nerea Egana , Estibaliz Ugarte , Javier Espiga , Ramon Elorza Jose

The simultaneous occurrence of MTC and PTC in the same thyroid can be observed as a mixed tumour folliculo-medullar (OMS 1988) or as a collision tumour separated by normal thyroid parenchyma, which has only been described in less than thirty patients. We report two cases.Case 1: A 72 years old woman who underwent total thyroidectomy for a multinodular goiter. Histology showed a 2.5 cm CPT in the left lobe and a 4.5 cm CMT in the right lobe. She received ...

ea0037ep1273 | Clinical Cases–Thyroid/Other | ECE2015

Adrenal embolisation in severe ectopic Cushing: unusual case and extraordinary measures

Bilbao Ismene , Antunano Luisa , Olaizola Izaskun , Chacon Ana , Elias Estela , Egana Nerea , Garcia Cristina , Aranburu Maite , Yoldi Alfredo , Goena Miguel

Introduction: Pancreatic ACTHomas have a poor prognosis with severe and rapidly progressive clinical courses, influenced by hypercortisolaemia thus whenever possible, control of the cortisol levels should be obtained to reduce complications. We report the use of adrenal embolisation in a case of a life threatening paraneoplastic Cushing.Case: A 51-year-old woman with a negative past medical history complained of general weakness. Cushing’s syndrome ...

ea0035p234 | Clinical case reports Pituitary/Adrenal | ECE2014

Takotsubo cardiomyopathy triggered by pheocromocytoma crisis

Bilbao Ismene , Yoldi Alfredo , Garcia Cristina , Egana Nerea , Aranburu Maite , Luisa Antunano Maria , Olaizola Izaskun , Elias Estela , Goena Miguel

Introduction: Pheochromocytomas are a rare catecholamine secreting tumours that can mimic numerous stress-associated disorders, such as Takotsubo cardiomyopathy, or transient left ventricular apical ballooning which is brought on by an acute coronary vasospasm due to an excessive sympathetic stimulation.Case ReportA 68-year-old woman, with previous medical history of hypertension and type 2 diabetes, who was on 30 units of isuline ...

ea0032p233 | Clinical case reports – Pituitary/Adrenal | ECE2013

Good response to temozolamide therapy in a man with a prolactin secreting pituitary carcinoma

Bilbao Ismene , Coca Mariano Alvarez , Garcia Cristina , Egana Nerea , Aranburu Maite , Yoldi Alfredo , Antunano Luisa , Goena Miguel

Introduction: Pituitary carcinomas are rare and their management is difficult, because they exhibit a continued growth and metastatic dissemination despite of multimodal and aggressive treatments. Temozolamide, has shown a substantial response rates in pituitary carcinomas.We report the case of a patient with a malignant prolactinoma successfully treated with temozolamide.Case report: The patient, a 62-year-old male, consulted with...

ea0032p714 | Neuroendocrinology | ECE2013

Central diabetes insipidus, as the first sign of Langerhans cell histiocytosis in an adult

Egana Nerea , Ruiz Irune , Bilbao Ismene , Aramburu Maite , Yoldi Alfredo , Garcia Cristina , Alvarez Coca Mariano , Luisa Antunano Maria , Goena Miguel

Introduction: Langerhans cell histiocytosis (LCH) is a rare granulomatous disease of unknown etiology. LCH may be localized or be a systemic disease. The diagnosis is frecuent in pediatric age. In adults, infiltration is most frecuently in bones, lungs and skin, and shows particular predilection for hypothalamo-pituitary axis.Case: A 51 years old man was referred due to polyuria of ~15 l of daily urine output. His past medical history revealed bronchiect...

ea0056p846 | Pituitary - Clinical | ECE2018

The use of colonoscopic screening in acromegaly in our everyday practice revisited: how compliant with guidelines have we been?

Bilbao Ismene , Egana Nerea , Ciriza Maite Perez de , Olaizola Izaskun , Garcia Cristina , Agea Leire , Aranburu Maite , Yoldi Alfredo , Goena Miguel

Introduction: Although it has been suggested that there is a strong association between acromegaly and premalignant colonic lesions and colon cancer, it seems that in real – life practice the adherence to ACRO colonoscopy guidelines might be lower than expected (as recently shown by M.Parolin et cols).Methods: We retrospectively reviewed the case records of the 54 patients with acromegaly seen in our center since 1994.We analyzed the findings of 27 ...