Endocrine Abstracts

Introduction: Dyshormonogenetic goiter (DG) is considered as a form of thyroid hyperplasia due to enzymatic defects in hormone synthesis. The architectural polymorphism and cellular atypia may mimic thyroid neoplasms and cause difficulties in differential diagnosis.Results: We report 3 cases of DG occurring in one females and two males who were aged 20, 9, and 7 years old, respictively. All patients presented with clinically evidence of goiter. Hypothyro...

Introduction: Remnants of the fourth branchial arch are extremely rare with less than 100 cases reported in the literature and account for 1–4% of all branchial anomalies. These anomalies typically present as recurrent neck infections and/or abscesses or acute suppurative thyroiditis. We report a case of cyst of the 4th cleft revealed by a thyroiditis treated in our department.Case report: A 6-year-old boy presented with recurrent neck swellings. Du...

Introduction: Metastases of thyroid tumors are rare. Metastatic sites are in order of frequency : pulmonary, bone and brain. Facial bones metastases are exceptional. These metastases are more frequent in vesicular than papillary carcinoma histological. The aim of our work is to describe the clinical and radiological aspects as well as the therapeutic modalities.Observation 1 and 2: A 38-year-old woman and 13-year-old boy consulted for a chronic cough wit...

Background: analysis the epidemiologic and the clinical features of this entity, then to discuss the management Patients and methods: We report a retrospective study of 120 patients operated on for multi nodular goiter over a period of 5 years between January 2017 and December 2021.Results: In our study a female predominance was noted with a sex ratio F/H of 8/1. The average age of the patients was 44 years with extremes from 15 to...

Introduction: Oncocytic tumors of the thyroid include adenomas and carcinomas. The distinction between malignancy and benignity represents a major difficulty on the histological level. From this aspect arise constraints in the attitude therapy to adopt.Material and methods: we present one rare case of an oncocytic carcinoma of the thyroid with laryngotracheal invasion in a 54 male patient operated in ENT department of Farhat Hached hospital of Sou...

Background: Primary thyroid non Hodgkin’s lymphoma (PT-NHL), which defined as a lymphoma occurring in the thyroid gland with or without the involvement of regional lymph nodes, is a quite rare pathologic entity, accounting for 1,3-1,5 % of thyroid neoplasm, and 0,5% of lymphoma. there exists insufficient data to describe the incidence of mantle cell lymphoma in the thyroid gland. Due to this rarity and non specific clinical presentation, it seems essentiel to better under...

Background: To study the diagnostic difficulties, the clinical characteristics, as well as the therapeutic modalities of this entity.Material and method: Report a case of oncocytic carcinoma of the thyroid of aggressive evolution collected in the ENT department and CCF Farhat Hached in Sousse. Result: This is a 54-year-old patient, with no notable history, who was operated on in 2012 for a large goiter evolving for 3 years previous...

Introduction: Olfactory neuroblastoma causing syndrome of inappropriate antidiuretic hormone (SIADH) as paraneoplastic syndrome is very rare. There have been only 10 cases with antidiuretic hormone (ADH) producing olfactory neuroblastoma in the literature. The syndrome is due to ectopic production of protein hormones, hormone precursors, or hormone-like substances by the tumor tissue. Here, we report the case of olfactory neuroblastoma associated with SIADH.<p class="abste...

BackgroundThe thyroid nodule is a common presentation. Its prevalence is estimated to be 5%. Surgical treatment could not be systematic. It requires structured diagnostic approach to ascertain the risk of malignancy and determine appropriate management.AimTo evaluate potential role of epidemiological, clinical and para clinical criteria as preoperative indcators of malignancy in thyroid nodules.<p class="...

Introduction: Necrotizing otitis externa (NOE) is a rare but serious condition which is mainly seen in diabetics. This condition has a poor prognosis, due to the complexity of the terrain in which it occurs. The aim of our work is to study the clinical, paraclinical and therapeutic data of NOE. Material and methods: This is a retrospective study covering 64 cases followed and treated in our ENT department over a period of 12 years between 2000 and 2022.<...