Endocrine Abstracts

Background: Nodular goiter is one of the commonest endocrinopathy. Its incidence increases with age accounting for more than 50% of subjects older than 60 years. Elderly subjects more frequently suffer from pressure symptoms. Loco-regional treatments, like laser photocoagulation and percutaneous ethanol injection, are a potentially useful tool to treat TNs but their efficacy is still debated. Radiofrequency thermal ablation (RTA) has been applied to several benign and malignan...

Background: Severe GH deficiency (GHD) is associated with, increased cardiovascular (CV) risk and intima-media thickness (IMT) at major arteries.Objective: To investigate the long-term (5-years) effects of GH replacement on insulin resistance (IR) syndrome (IRS) (at least two of: triglycerides levels ≥1.7 mmol/l, HDL-cholesterol levels ≤1.0 mmol/l, blood pressure above 130/85 mmHg, fasting glucose 6.1–7 or 2 h after glucose 7.7–11.1...

IntroductionThyroid diseases affect a large population worldwide and total thyroidectomy (TT) is the most common curative treatment [1]. Recurrent laryngeal nerve (RLN) lesions are the most dangerous complication [1]. The intraoperative neuromonitoring (NIM) is a useful tool in reducing the incidence of nerve injury, but a preoperative examinations of vocal cords function through flexible fiberoptic laryngoscopy (FFL) is recommended [1]. FFL is uncomfort...

BackgroundThe incidence of papillary thyroid cancers is increase in last decades due to easier ultrasound diagnosis. The papillary thyroid cancers metastasize via lymphatics to the lymph nodes of the central and later cervical neck compartment. According to 2015 ATA guidelines, the recurrence rate is less 1–2% [2]. The treatment of choice in lymph node recurrences is surgery, but it is burdened by a higher rate of complications (25% of recurrent lar...

Induced radiofrequency thermal ablation is cytoreductive treatment of symptomatic benign thyroid nodules, metastatic and recurrent thyroid tumors and papillary thyroid microcarcinomas. It is a safe and effective alternative to surgery and it allows to obtain satisfactory results in terms of volumetric reduction of the nodule with significant improvement in the quality of life. The trans-isthmic approach and the moving shot technique are the two basic techniques; however, an ad...

Background: Primary hyperparathyroidism (PHPT) is the third most common endocrine disease and the most frequent cause of hypercalcemia in outpatients with an estimated incidence of 20/100 000/year and prevalence in the general population of 0.1%–0.4%. Parathyroidectomy (PTX) is the only treatment that can achieve PHPT cure but a few medications can be used to control calcium levels, bone and kidney impairment.Aims: 1) To assess costs associated with...