Searchable abstracts of presentations at key conferences in endocrinology

ea0035p288 | Clinical case reports Thyroid/Others | ECE2014

Primary hyperparathyroidism due to ectopic mediastinal parathyroid gland at the level of anterior wall of ascending aorta

Gogali Foteini , Tzatzadakis Nikolaos , Proikaki Stella , Samartzis Georgios , Prokovas Ioannis , Tsentidis Charalampos

Introduction: Parathyroid adenoma is the most common cause of primary hyperparathyroidism (PHPT) resulting in hypercalcemia and hypercalciuria due to autonomous secretion of PTH. Ectopic parathyroid adenoma, as a consequence of variability in the glandular tissue migration during the embryologic life or a supernumary fifth parathyroid gland, has an incidence of 25% among patients with PHPT. The incidence of deeply mediastinal ectopic parathyroid adenoma is 1–3%.<p cla...

ea0035p844 | Pituitary Clinical (<emphasis role="italic">Generously supported by IPSEN</emphasis>) | ECE2014

Enormous, LH secreting gonadotroph adenoma in a male patient

Gogali Foteini , Chatzidakis Emanuel , Fratzoglou Moshos , Proikaki Stella , Samartzis Georgios , Prokovas Ioannis , Tsentidis Charalampos

Introduction: Gonadotrophin-producing pituitary adenomas are usually non-functioning masses, and are not associated with elevated serum gonadotrophins. Functioning LH-producing gonadotroph pituitary adenomas are exceedingly rare in males, causing elevation of serum testosterone.Case report: We present an adult male who has been admitted to the emergency department a comatose state. Brain MRI revealed a large, lobulated mass of 6 cm caudal and 7.8 cm late...

ea0070ep286 | Pituitary and Neuroendocrinology | ECE2020

Macroprolactinoma in an adolescent girl with secondary amenorrhea – A case report

Venaki Evangelia , Kakoulidis Ioannis , Linardi Anastasia , Petychaki Foteini , Togias Stefanos , Michou Aikaterini , Ilias Ioannis , Koukkou Eftychia

Introduction: Prolactinomas are rarely found in adolescents under 15 (incidence 0.1/1.000.000). They account for 50% of all types of pituitary adenomas in childhood and adolescence (2% of intracranial tumors). The mean time from onset of symptoms to diagnosis is 2.4 years on average for girls. In cases of macroadenomas, TSH and GH deficiency may coexist. The gold standard primary therapy is dopamine agonists. In case of non-response, or the presence of large prolactinomas with...

ea0073aep49 | Adrenal and Cardiovascular Endocrinology | ECE2021

Hair cortisol levels in patients with adrenal incidentalomas compared to healthy controls

Athanasouli Fani , Mytareli Chrysoula , Andreadaki Evangelia , Petychaki Foteini , Savelli Akrivi , Asonitis Nikos , Anna Angelousi

BackgroundAdrenal incidentalomas (AI) are present in 3–10% of the general population. Up to 20% of them may have autonomous cortisol secretion (ACS). However, subclinical hypercortisolism isn’t clearly defined. The 1mg dexamethasone suppression test (ODST) is the most widely accepted for the screening of these patients. Recent data suggest that hair cortisol should be considered as a routine test for the screening of Cushing syndrome.<p cla...

ea0037ep846 | Thyroid cancer | ECE2015

Association of calcium-stimulated calcitonin values with pathological findings following total thyroidectomy

Papadakis Georgios , Keramidas Ioannis , Triantafillou Eleni , Kanouta Foteini , Pappa Theodora , Kaltzidou Victoria , Tertipi Athanasia , Vecchini Gino , Papadouli Despoina , Pappas Anastasios

Background and objectives: Medullary thyroid carcinoma (MTC) originates from thyroid C-cells and is a calcitonin (CT) secreting tumour with aggressive behaviour. Surgery is recommended in all patients with basal or calcium-stimulated CT values of 100 pg/ml or higher due to the high probability of MTC. The objective of this study was to investigate the utility of calcium stimulation test for CT in order to distinguish MTC from C-cell Hyperplasia (CCH) preoperatively and to exam...

ea0037ep848 | Thyroid cancer | ECE2015

False-positive uptake of radioiodine WBS in a patient with papillary thyroid cancer due to a vertebral hemangioma

Triantafillou Eleni , Kanouta Foteini , Papadakis Georgios , Tzaves Ioannis , Panagiotidi Evgenia , Trivizaki Erasmia , Kaltzidou Victoria , Tertipi Athanasia , Drosou Aspasia , Pappas Anastasios

Introduction: Diagnostic and post-therapy radioiodine whole body scan (WBS) is used in the follow-up of differentiated thyroid carcinoma (DTC) for the detection of local recurrence or remote metastasis. We report a case of false-positive uptake of radioiodine WBS.Case report: A 37-year-old female patient underwent subtotal thyroidectomy for multinodular goitre and histology revealed multifocal papillary thyroid carcinoma, of follicular type with three fo...

ea0070aep1090 | Hot topics (including COVID-19) | ECE2020

Climacteric symptoms and stress management techniques in peri- and early postmenopausal women

Armeni Eleni , Augoulea Areti , Palaiologou Anastasia , Christidi Foteini , Soureti Anastasia , Alexandrou Andreas , Panoulis Konstantinos , Chroussos Georgios , Zervas Ioannis , Lambrinoudaki Irene

Introduction: The hypothalamic-pituitary-ovarian and/or adrenal axis as well as the autonomous nervous system affect significantly the intensity of menopausal symptoms Pre-existing levels of stress may affect the individual perception of menopausal symptoms. We aimed to evaluate the efficacy of a structured stress management program to reduce levels of stress and severity of climacteric symptoms, in a sample of middle-aged Greek women.Methods: The sample...

ea0073aep87 | Calcium and Bone | ECE2021

Effect of parathyroidectomy on early diastolic dysfunction assessed with ventricular mass index in patients with primary hyperparathyroidism

Tzikos Georgios , Manani Christina , Chorti Aggeliki , Evaggelos Sykaras , Boura Evangelia , Adamidou Foteini , Pliakos Ioannis , Papavramidis Theodosios S.

IntroductionPrimary hyperparathyroidism (PHPT) is characterized by excessive secretion of parathyroid hormone (PTH) from one or more parathyroid glands. PTH has a central role in the regulation of calcium and phosphate and the classic disorder causes primarily hypercalcemia associated with renal and bone manifestations. Non-classical symptoms are also present including cardiovascular, gastrointestinal, psychiatric, neuro-cognitive disorders. Regarding ca...

ea0041ep1121 | Thyroid cancer | ECE2016

One thyroid, three tumors within: a case of three collision tumors

Selalmatzidou Despoina , Adamidou Fotini , Mintziori Gesthimani

Introduction: Collision tumors of the thyroid are neoplasms of distinct histology located within the same gland. Although rare, the most commonly described collision tumors of thyroid origin are medullary and papillary carcinomas. We describe a case of co-existence of a benign follicular adenoma in a dominant nodule with a micropapillary and a micromedullary carcinoma in a patient carrying a heterozygous germline RET polymorphism.Case report: A 74-year-o...

ea0063p851 | Adrenal and Neuroendocrine Tumours 3 | ECE2019

True silent pheochromocytoma: description of a rare entity

Adamidou Fotini , Komzia Paraskevi , Mpatsi Ourania , Georgiou Thomas , Kita Marina

Introduction: With the advent of modern imaging, up to 30% of adrenal pheochromocytomas are discovered incidentally in asymptomatic patients. Smaller tumors may be ‘pre-biochemical’ in their secretory capacity, but truly nonfunctioning tumors over 3 cm are exceedingly rare. We describe a case of a clinically and biochemically silent pheochromocytoma.Case report: A 65-year-old woman was found to have a left adrenal incidentaloma on an abdominal ...