Endocrine Abstracts

The aim of our study was to estimate the prevalence and describe diagnosis, treatment and follow up strategy of phaeochromocytomas at VUHSC.Results: There were 702 patients diagnosed with adrenal masses from 2010 to 2014. Only half of patients were screened for phaeochromocytoma which included 24 (the incidence is 3.4%). Phaeochromocytoma was diagnosed in 5 (20.8%) males and 19 (79.2%) females, average age 55±11.5 years. After surgery 2 (8.3%) were ...

The aim of study was to make a retrospective audit of diagnostic approach of symptomatic and asymptomatic patients with adrenal tumours diagnosed at VUHSK from 2010 to 2013.Methods: Cases coded as D35.0; D44.1; E27.0; E27.5; E27.8; E27.9 according to ICD-10 classification were retrieved from database. Electronic data capture system was used to collect information.Results: There were 527 (123 men, 404 women) patients, age 62.5±...

Background: Differentiated thyroid carcinoma (DTC) has an excellent prognosis with a relatively low recurrent and mortality rate, but a small portion of DTC patients suffers from an aggressive form of the disease with tumor invasion and metastasis. Accurate identification of this group of DTC patients is of crucial importance to optimizing individualized DTC treatment. This study aimed to retrospectively investigate the clinicopathologic predictive factors of cervical lymph no...

Background: Current guidelines suggest against further imaging follow-up (FU) of patients with non-functioning adrenal masses with clear benign features on imaging studies.Aim: To analyse the data of patients with non-functioning adrenal masses who had FU at Vilnius University Hospital Santariskiu Klinikos (VUHSK) from 2010 to 2016.Methods: Cases coded as D35.0; D44.1; C74.1; C74.9; E26.0; E27,8; E24,8 according to ICD-10 classific...

Background: A fetal macrosomia is the most frequent complication of gestational diabetes mellitus (GDM) in Lithuania. The aim of our study was to assess the predicting factors of fetal macrosomia in GDM.Methods: Retrospective data analysis of 3 547 women who delivered in Vilnius University Hospital Santariskiu Klinikos in 2015 was performed. Documented GDM risk factors were obtained from medical records and electronic database. Newborns over 4000 g birth...

Background: Diabetic neuropathy (DN) is the most common chronic diabetes complication in type 1 (T1DM) and type 2 (T2DM) diabetes mellitus. Due to diagnostic issues, it is the least studied complication with limited and controversial data about the differences of various types of DN between T1DM and T2DM patients.Aim: To evaluate the differences of diabetic polyneuropathy (DPN) and cardiac autonomic neuropathy (CAN) - between T1DM and T2DM patients.<...

Introduction: Adrenocortical carcinomas (ACC) are rare and frequently aggressive tumors that may be functional (hormone-secreting) – causing Cushing’s syndrome and/or virilization, or nonfunctional – presenting as an abdominal mass or as an incidental finding. We describe a rare case of stage IV adrenocortical carcinoma which first manifested as treatment resistant Cushing’s syndrome.Case report: In september of 2021, a 24-year-old fe...

Introduction: Weakness is one of the most common complaints among the patients. Clinical manifestations of a hypopituitarism depend on the extent of hormone deficiency and may be non-specific and thus the diagnosis is often missed. The progressive loss of pituitary hormone secretion is usually a slow process, which can occur over a period of months or years.Clinical case: A 62 years old women who complained of mild weakness mostly in the evenings in the ...

Introduction: Follicular thyroid carcinoma (FTC) is the second most common malignancy of the thyroid gland. Distant metastasis, usually in bones or lungs, can be found in about 10%–15% of cases. A clinical case of FTC distant bone metastasis is presented.Case: A 62-year-old male came to endocrinologist for annual follow-up (FU) of multinodular goiter, euthyreosis in 2010. Two years before prostate carcinoma (T1N0M0) was also diagnosed for the patien...

Introduction: Ectopic benign thyroid tissue outside the normal migration path of the thyroid is an extremely rare condition that, to our knowledge, has never been described in the orbit.Clinical case: 75-year-old woman with nodular thyroid was referred to Vilnius University Hospital Santariskiu Klinikos for fine needle aspiration biopsy. Her complaints were palpitations, difficulty swallowing, diplopia, exophthalmos with medial and –superio...