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B Ün, K S Dolapçıoğlu, A Güler Okyay, H Şahin, A Beyazıt
AIM: In this study, we aimed to evaluate two cardiovascular risk markers, hs-CRP and visseral adiposity index, in patients with policystic ovary syndrome in association with clinical and laboratory findings. MATERIAL AND METHOD: Study group included 75 patients who were diagnosed as PCOS according to the criteria of AE-PCOS 2006 and control group included 75 non-PCOS patients who were subsequently admitted to outpatient clinic for smear control, with urinary or vaginal symptoms...
September 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Juan José Díez, Juan Carlos Galofré, Amelia Oleaga, Enrique Grande, Mercedes Mitjavila, Pablo Moreno
Thyroid cancer is the leading endocrine system tumor. Great advances have recently been made in understanding of the origin of these tumors and the molecular biology that makes them grow and proliferate, which have been associated to improvements in diagnostic procedures and increased availability of effective local and systemic treatments. All of the above makes thyroid cancer a paradigm of how different specialties should work together to achieve the greatest benefit for the patients. Coordination of all the procedures and patient flows should continue throughout diagnosis, treatment, and follow-up, and is essential for further optimization of resources and time...
March 2016: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Ana Gonçalves, Sara Vale, Ema Nobre, Ana Paula Barbosa, Ema Piloto, Ana Wessling, Mário Mascarenhas
The presence of chronic lymphocytic leukaemia (CLL) cells in the thyroid gland is most likely due to a secondary involvement by a systemic disease. The reported incidence of CLL involving the thyroid is extremely low, representing about 3-4% of all thyroid lymphoproliferative neoplasm. We report a rare case of CLL presenting initially in the thyroid gland. Systemic disease was detected as a result of thyroid investigation. An 85 years old woman, with multinodular goiter without adenophaties, was referred to our department, carrying a fine needle aspiration biopsy (FNAB) report of a private institution referring "lymphoid monomorphic proliferation" and suggesting a "Core-needle biopsy" for further investigation...
April 2015: Archives of Endocrinology and Metabolism
Carles Zafon, Manel Puig-Domingo, Josefina Biarnés, Irene Halperin, Maria Rosa Bella, Ignasi Castells, Cintia González, Ana Megía, Lola Santos, Luís García-Pascual, Jordi Lluís Reverter, Eduarda Pizarro, Dídac Mauricio
INTRODUCTION: The consortium for the study of thyroid cancer (CECaT), including 20 hospitals and one research institute, was recently created in Catalonia (Spain). One of the first initiatives of the group was to perform a descriptive analysis of the characteristics of patients with differentiated thyroid carcinoma (DTC). PATIENTS AND METHODS: The cohort included 1,855 patients from 11 hospitals treated over a period of 15 years (1998-2012). RESULTS: In this series, 1...
June 2015: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Juan José Díez, Amelia Oleaga, Cristina Álvarez-Escolá, Tomás Martín, Juan Carlos Galofré
Incidence of thyroid cancer is increasing in Spain and worldwide. Overall thyroid cancer survival is very high, and stratification systems to reliably identify patients with worse prognosis have been developed. However, marked differences exist between the different specialists in clinical management of low-risk patients with thyroid carcinoma. Almost half of all papillary thyroid carcinomas are microcarcinomas, and 90% are tumors < 2 cm that have a particularly good prognosis. However, they are usually treated more aggressively than needed, despite the lack of adequate scientific support...
June 2015: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Juan Carlos Galofré, Garcilaso Riesco-Eizaguirre, Cristina Alvarez-Escolá
Special considerations are warranted in management of thyroid nodule and thyroid cancer during pregnancy. The diagnostic and therapeutic approach of thyroid nodules follows the standard practice in non-pregnant women. On the other hand, differentiated thyroid cancer management during pregnancy poses a number of challenges for the mother and fetus. The available data show that pregnancy is not a risk factor for thyroid cancer development or recurrence, although flare-ups cannot be completely ruled out in women with active disease...
March 2014: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Zvezdana Rajkovaca, Pedja Kovacević, Mirko Stanetić, Sinisa Ristić
BACKGROUND/AIM: The most sensitive indicators for detecting recurrence of well-differentiated thyroid cancer (DTC) are 131I whole body scintigraphy (WBS) and measurement of serum thyroglobulin (Tg). In order to perform it, it is necessary to raise the level of endogenous tiroid-stimulating hormon (TSH), which can be achieved by L-thyroxine withdrawal for 3-5 weeks or administration of recombinant human thyrotropin (rhTSH) without requiring the discontinuation of thyroid hormone therapy...
November 2012: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Maria Santana Lopes, João Jácome de Castro, Mafalda Marcelino, Maria João Oliveira, Francisco Carrilho, Edward Limbert
The World Health Organization considers iodine deficiency as a major worldwide cause of mental and development diseases, estimating that about 13% of the world population is affected by diseases caused by iodine deficiency. Iodine is a trace element necessary for the synthesis of thyroid hormones which, since it cannot be formed by the organism, must be taken regularly with food. Fish and shellfish are generally a good source, because the ocean contains a considerable amount of iodine. On the contrary, plants which grow in iodine-deficient soils are poor in this element, as well as meat and other animal products fed in plants low in iodine...
May 2012: Acta Médica Portuguesa
Maria João Oliveira, Fernando Rodrigues, Cástor Pereiras, Fátima Borges, Francisco Carrilho, Edward Limbert, João Jácome de Castro
INTRODUCTION: In January 2005, during the annual meeting of the Portuguese Society of Endocrinology, Diabetes and Metabolism, a questionnaire on the treatment and follow-up of differentiated thyroid carcinoma (DTC) was given to attendants. The aim of this study was to present the survey's results. METHODS: The questionnaire addressed the following issues: the surgical treatment of the gland and cervical lymph nodes, whole body scan and ablation with (131)I, suppression with levothyroxine, and treatment of recurrence and metastases...
August 2008: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
Edward Limbert, Susana Prazeres, Márcia São Pedro, Deolinda Madureira, Ana Miranda, Manuel Ribeiro, Francisco Carrilho, J Jácome de Castro, Maria Santana Lopes, João Cardoso, Andre Carvalho, Maria João Oliveira, Henrique Reguengo, Fátima Borges
OBJECTIVE: The aim of the present study was to evaluate iodine intake in portuguese school children in order to inform health authorities of eventual measures to be implemented. INTRODUCTION: Iodine is the key element for thyroid hormone synthesis and its deficiency even mild, as found in other European countries, may have deleterious effects in pregnancy resulting in cognitive problems of offsprings. In Portugal there are no recent data on iodine intake in schoolchildren...
January 2012: Acta Médica Portuguesa
Juan Carlos Galofré, José Manuel Gómez-Sáez, Cristina Álvarez Escola, Elías Álvarez García, Emma Anda Apiñaniz, Amparo Calleja, Sergio Donnay, Anna Lucas-Martin, Edelmiro Menéndez Torre, Elena Navarro González, Vicente Pereg, Begoña Pérez Corral, Javier Santamaría Sandi, Garcilaso Riesco Eizaguirre, Carles Zafón Llopis
No abstract text is available yet for this article.
October 2011: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
José Manuel Gómez Sáez
INTRODUCTION: The aim of this study was to assess the approaches of specialists in Spain to patients with thyroid nodules and differentiated thyroid carcinoma and to compare them with the American guideline and European consensus. MATERIAL AND METHODS: We performed a cross-sectional study based on a questionnaire addressed to clinical endocrinologists specialized in thyroid cancer and specialists in nuclear medicine throughout Spain. RESULTS: A total of 177 questionnaires were completed, representing an overall response rate of 85%; 74% of responses were from endocrinologists and 24% from physicians active in nuclear medicine; 82% of respondents worked in third-level hospitals, 10% in second level hospitals and the remainder in private practice...
October 2010: Endocrinología y Nutrición: órgano de la Sociedad Española de Endocrinología y Nutrición
V Pino Rivero, G Pardo Romero, A González Palomino, C G Pantoja Hernández, G Trinidad Ramos, M Marcos García, A Blasco Huelva
We report the clinical case of a 39 years old female diagnosed as a chronic lymphocytic tiroiditis by F.N.A.B. with multinodular goiter of long evolution. The patient was operated by total thyroidectomy and her final anatomopathologic result was papillary carcinoma diffuse sclerosing variant. During the surgical act several cervical nodes were detected and removed being informed the most of them as metastasic. A review of the literature at respect of this malignant neoplasm is performed.
2006: Anales Otorrinolaringológicos Ibero-americanos
Helena Vilar, Francisco Carrilho, Fátima Borges, Edward Limbert, Fernando Rodrigues, Maria João Oliveira, João Jácome de Castro
INTRODUCTION: The best diagnostic and treatment strategy for an approach to the nodular thyroid disease continues to be a controversial issue. OBJECTIVES: The aim of this study was to characterise medical practice in the diagnosis and treatment of nodular thyroid disease by endocrinologists and surgeons in Portugal in 2002. METHODS: A questionnaire based on that used by the European Thyroid Association and the American Thyroid Association was drawn up...
November 2005: Acta Médica Portuguesa
Fernando Rodrigues, Edward Limbert, Ana Paula Marques, Ana Paula Santos, Carlos Lopes, Elizabete Rodrigues, Fátima Borges, Francisco Carrilho, João Jácome de Castro, João Neto, Lucília Salgado, Maria João Oliveira
Differentiated thyroid carcinoma of follicular origin (DTCFO), although not very frequent, has registered a raising incidence in the last decades. In the majority of the cases, DTCFO is a curable disease when treated and monitored by experienced, multidisciplinary teams. These factors contribute to an increasing number of DTCFO survivors requiring life-long monitoring, due to the possibility of occurrence of recurrences many years after the initial treatment. Several aspects of the treatment and management of these patients are still controversial...
January 2005: Acta Médica Portuguesa
M Oyarzábal, M Chueca, J Elso, A Sola
The incidence of congenital Hypothyroidism is estimated at one case per 3,000-4,000 newly born. It is a proven fact that early diagnosis and treatment of this problem prevents mental retardation, which has led to the design and utilisation of methods of systematic detection in the newly born. The implantation of the screening program is relatively recent and progressive in some autonomous communities. With respect to the achievements that are being obtained by the program outstanding is the shorter time with respect to initiation of the treatment, but there still remain some shortcomings such as that of carrying out a longitudinal follow up of these infants, with respect to the evaluation of the development quotient, hence the need to have available hospital psychologists to carry out these evaluations...
September 1998: Anales del Sistema Sanitario de Navarra
C Marchini, L Vicario, E Zappoli Thyrion, L Marinig
A case of idiopathic unilateral (left) idiopatic basal ganglia calcification with associated extrapiramidal controlateral symptoms is described. The patient, a 20 years old man, showed since childhood a progressive motor impairment of his right limbs more obvious in his arms. Neurological examination showed hypertonia, distonia, motor and other extrapiramidal impairments of his right limbs. Skull X Ray and CT scan revealed left basal ganglia calcification. Laboratory investigations excluded all the common diseases with basal ganglia calcifications: tumors, tiroid and paratiroid disorders, parassites, vascular, inflammatory or degenerative diseases...
March 1979: Rivista di Patologia Nervosa e Mentale
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