Endocrine Abstracts

Introduction: Thyroid lymphoma is a rare thyroid disease, occurring mostly in the elderly. We report a series of 13 cases from a single centre.Material and methods: Among our regional registry (1294 cases of thyroid cancer), we report 16 cases of thyroid lymphoma (with sufficient data on follow up for 13).Results: Mean age was 68.3 years (range 38–85) and included 12 women for 1 man. Nine patients also presented with Hashimoto...

Acute suppurative thyroiditis is a rare disease because thyroid gland is highly resistant to infection. The most common predisposing factor is the presence of a piriform fistula. We report an unusual case of hyperthyroidism caused by AST.A 27-year-old woman was admitted to our hospital because she presented a painful swelling in the left thyroid gland with fevers. Laboratory test showed a white leukocyte count of 14 000/μl, a CRP level of 251 mg/l, ...

The prognosis of thyroid anaplastic carcinoma is poor. Yet can prognosis criteria change the therapeutic options?Method: From a series of 26 cases from a single group recorded between 1990 and 2006, we analyzed the outcome after treatment based on surgery, radio and chemotherapy and looked for prognosis criteria.Results: All but one patients died with a mean survival of 273 days (median survival of 130 days). Over 50% of patients h...

A 56 years old woman was admitted to an intensive Care Unit for generalized seizure seven days following total thyroidectomy for toxic multinodular goiter. Thyroidectomy included self transplantation of a right parathyroid gland. Pathologic analysis confirmed benign multinodular goiter, without parathyroid tissue. Post operatively, on LT4 therapy, follow up symptoms included facial paresthesia associated to mild hypocalcaemia (1.56 mmol/l) at day 2, treated with ora...

A 63-year-old woman was referred by her cardiologist because of rapid growth of an anterior cervical mass. The patient had a history of severe vascular atherosclerotic disease, requiring multiple prosthetic vascular surgery, among which thoracic aorta surgery, atrial fibrillation requiring coumadin and chronic respiratory failure. On admission, the patient presented with a 7 cm firm mass, regularly growing for 2 months, adherent to the cervical skin, highly suggestive of thyro...

Thyroid anaplastic carcinoma (TAC) is rare among thyroid cancers. Few surveys on these diseases are available.Aim: To analyze the clinical and pathological characteristics of TAC in Auvergne, France, from a series of 26 patients among a cohort of over 1500 thyroid carcinomas (i.e. 1.7% of total thyroid cancers).Results: Mean age was 72.1 years (range 42–91 years), with a sex ratio of 19 women to 7 men. A previous history of th...

Adrenocortical sarcoma is an extremly rare tumour associated with a quite pejorative evolution.We report the case of a fifty-eight years old woman presenting a chronic asthenia and acute flank pain. She had no hypertension, no clinical sign of virilization or hypercorticism. Abdominal ultrasonography revealed an 8 centimeters mass above the right kidney. CT scan aspect evoked an adrenal carcinoma embolizing vena cava. Hormonal assays did not reveale any inappropriate secretion...