Relatórios de pesquisa sobre tireoide

Background:

Renal metastasis has relatively less occurrence in patients with differentiated Thyroid carcinoma. Methods:

The various clinical, imaging, diagnostic and therapeutic parameters of a series of patients with differentiated Thyroid carcinoma and renal metastasis were assessed, together with follow-up data. Results & Conclusion:

4 male patients over the age of 45 years with extensive disease at the primary site formed part of the series. Retro-sternal extension of the large goitre was observed in three of the four patients. The primary tumour was 4 cm or larger in all patients (range, 4–14 cm), and three patients had associated lymph node metastasis. None had any genito-urinary symptoms at presentation. Two patients had isolated renal metastases with no other distant metastases, while the others had extensive multiorgan involvement. The bilateral occurrence of lesions was a hallmark, being observed in all cases. The criticality of establishing the diagnosis of renal metastasis had important therapeutic implications. Ultrasound-guided fine needle aspiration cytology and 131I scintigraphy played a significant role in confirming the diagnosis. The optimization of the high dose radioiodine therapy aimed at stabilization of disease with serial meticulous monitoring of renal function facilitated the administration of cumulative average therapy dose of 21.83 GBq (range, 9.176 – 37.666 GBq) 131I in 3 to 4 divided doses. A meticulous and focused approach to establish an accurate diagnosis, ensuring a well maintained renal function without any further compromise due to the therapy or the disease per se and eventually optimization of the high dose radioiodine therapy helped to achieve a stable disease status at a minimum followup period of four years after diagnosis in three patients. One patient had expired due to a poorly differentiated lung carcinoma, which developed subsequently.

Background & Aim: The coexistence of Diabetes Mellitus and Thyroid disorders is a known clinical observation. The objective of this study was to see the spectrum of Thyroid disorders in Diabetes Mellitus in Nepal.

Methods: 271 known or newly detected cases of Diabetes Mellitus aged more than 15 years were selected randomly from the patients attending to BPKIHS from September 2012 to September 2013. These patients were subjected to evaluation for Thyroid function – clinically and biochemically and other relevant investigations were done.

Results: Out of 271 subjects only 23 patients (8.48%) were found to have Thyroid disorders. Among 23 patients; 11 had euThyroid, 4 had subclinical hypoThyroidism; 7 had clinical hypoThyroidism and 1 had subclinical hyperthyroidism. We found majority of patients with female hypoThyroidism. We found body mass index, mean triglyceride and cholesterol levels were more in those diabetic patients having coexisting hypothyroidism. So every diabetic patient should be screened for Thyroid function test.

The anticipation for patients with thyroid carcinoma is commonly reliant on age and tumor stage at time of determination. In any case, the natural forcefulness of individual tumors can’t generally be anticipated from the underlying clinical highlights, making it troublesome reliably to recognize patients who will kick the bucket from their ailment. Additionally, the event of vague lymphocytic thyroiditis of changing seriousness nearby thyroid tumors is every now and again watched. Hazard factors for the advancement of thyroid malignant growth incorporate radiation presentation, physical and germ line hereditary transformations. Regular transformations that go before the improvement of thyroid carcinoma focus on the mitogen-enacted protein kinase (MAPK pathway) and incorporate BRAF, RET/PTC and RAS. We utilized a NGS sequencing approach for equal cross examination of the nearness of physical transformations in tests from 82 patients.

 Huge substernal goiters are much of the time noted in creating nations, yet are not as every now and again rewarded in created nations. The executives of huge Thyroid goiters is as often as possible alluded to tertiary college medical clinics. In the accompanying investigation, we present our ongoing network medical clinic based experience overseeing such cases utilizing a trans-cervical methodology. A Retrosternal goiter is characterized in which in any event half of the organ is situated in the mediastinum as recognized by figured tomography (CT) and employable discoveries. In spite of the fact that extirpation of the organ can be performed by means of a neckline cut, the specialist ought to be set up for a thoracic methodology particularly in broad mediastinal thyroid masses. There is no unmistakable differentiation for deciding preoperatively which cases will require sternotomy versus open thoracic methodology. The point of this investigation is to dissect the results of 9 patients with retrosternal goiter.

Reports in Thyroid Research journal considers articles from all aspect of understanding related to thyroid which includes thyrotoxicosis, thyroid hormone resistance, and hypothyroidism, Dysthyroid orbitopathy (Graves’ Ophthalmopathy), thyroid status testing, Thyroid surgery, etc.