Endocrine Abstracts

A 36-year-old man from Romania was referred to the urology clinic with a two-year history of a painful left testicular swelling. On examination, both testes had multiple solid non-tender masses. An ultrasound scan of the testes showed bilateral, symmetrical infiltration of both testes, with scattered calcifications and enhanced blood flow. The differential diagnosis included testicular cancer, granulomatous diseases, leukaemia and adrenal rests. A CT scan showed no metastatic/...

Introduction: The neuroendocrine tumor of the ampulla of Vater represent a very rare disease, corresponding up to 2% of the periampullary malignancies and less than 1% of gastrointestinal NET. Less than 130 patients have been reported until 2013. The biological and clinical behavior is very unpredictable especially if it’s associated with another tumor, like adenocarcinoma. We present a case of a fifty-one-years-old woman who complained of weight loss, jaundice, abdominal...

Background: Recent data highlight the role of anti-Müllerian hormone (AMH) to trigger the neuroendocrine abnormalities involving GnRH and secretion of gonadotropins in polycystic ovary syndrome (PCOS).Aim: To study factors significantly correlated with neuroendocrine dysfunction in PCOS, with focus on AMH.Subjects and methods: We performed a cross-sectional study in 137 patients with PCOS selected by Rotterdam 2003 criteria an...

Introduction: The fat mass (FM) is assessed by DXA, magnetic resonance, etc. One of the most accessible methods for current practice is bioimpedance.Aim: We analyzed FM based on bioimpedance and fragility fracture risk.Material and method: This is a transversal study in women, admitted at C.I.Parhon National Institute of Endocrinology, Bucharest, Romania. The inclusion criteria were women in menopause. The exclusion criteria were p...

Background: Thyroid incidentalomas are reported with increasing incidence in the last decades. The rate of malignancy in these nodules may reach 9% or higher, depending on the patients selection.Material and methods: A retrospective study was done on 429 patients with nodular goiter (issued from an iodine-replete area), admitted in the Clinic of Endocrinology, Timisoara, Romania, from January 2011 to December 2013.Results: The prev...

Introduction: The pituitary tumors which are considered pituitary incidentalomas are accidentally discovered at pituitary scan and they associate a lack of pituitary hyper-secretion. Opposite to what generally are considered for adrenal incidentalomas, the pituitary incidentalomas are more frequent with years of life.Aim: We analyzed the incidentaloma sizes related to decades of age.Material and method: This is a retrospective stud...

Background: Postpartum hypopituitarism, known as Sheehan’s syndrome, occurs during a complicated childbirth, due to severe hemorrhage and hpovolemic shock that lead to ischemic necrosis of the pituitary gland.The aim of the study is to point out the clinical features in postpartum pituitary necrosis, so that the disease could be recognize rapidly, to present a laboratory work-up for a postive diagnosis, and also to describe the com...

Introduction: Pegvisomant (PEG) is an efficient treatment for acromegaly but the recommendation for this treatment is less active due to its high cost. In Romania it is reimbursed in doses up to 30 mg s.c/day or as 40 or 80 mg/week in combination with a somatostatin analog (SSA).Design: Retrospective analysis of 18 consecutive patients treated with PEG for acromegaly (either as monotherapy, or in combination with SSA and/or cabergoline (CAB...

Introduction: Polycystic ovary syndrome (PCOS) is associated with a complex altered hormonal profile. Functional mild hyperprolactinemia can be found in up to 25–30% of PCOS women. The aim of the study was to determine the incidence of hyperprolactinemia in PCOS patients and to correlate the prolactin values with hormonal and metabolic data.Material and methods: The study included 25 women, diagnosed with PCOS, according to Rotterdam criteria (mean ...

The diagnosis of the adrenal insufficiency requires complex clinical, laboratory and imagistic investigations. The study group was represented by 59 cases of adrenal insufficiency hospitalized in the Clinic of Endocrinology Timisoara, Romania, during the period 2000–2010 (age=42.10±16.30 years; F/M ratio=43/16). The patients were divided in two groups: primary adrenal insufficiency (42.37%) and secondary adrenal insufficiency (57.63%). In the group of primary adrenal...