48 results match your criteria: "Clinic of Endocrinology and Diabetology[Affiliation]"

Context: Percutaneous laser ablation (LA) is today regarded as a valuable therapy for symptomatic, benign solid (non-cystic) thyroid nodules.

Objective: We assessed the prevalence of complications from laser ablation (LA) for benign and solid thyroid nodules (STNs) and their management.

Methods: We conducted a systematic review with meta-analysis of data from published studies on LA of STNs, in addiction to author's institution.

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Multiple guidelines for thyroid nodule management have been developed by endocrinologists, often in collaboration with surgeons and radiologists. While there is now a lot of scientific information available to meet the needs of healthcare providers, there is not always uniformity and standardization among recommendations. Consequently, the interpretation and application of guidelines in clinical practice remain somewhat limited.

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Article Synopsis
  • The study reviewed complications from percutaneous ethanol injection (PEI) for benign and cystic thyroid nodules, combining data from 48 published studies and an additional 3670 cases from a specific hospital in Italy.
  • The overall prevalence of complications was found to be 32%, with the majority categorized as minor (32%) and major complications being rare (2%).
  • Most complications, such as local pain (21%) and transient dysphonia (1%), were considered mild and often required minimal or no treatment.
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  • The study assessed whether combining commonly used ultrasound risk stratification systems (RSS) with RAS gene mutations could improve the diagnosis of thyroid cancer in uncertain nodules.
  • A total of 124 nodules were evaluated, and the results showed that incorporating RAS mutations did not significantly enhance the diagnostic accuracy of the ultrasound criteria alone.
  • The findings suggest that RAS positivity alone is not a reliable indicator for distinguishing between benign and malignant thyroid nodules in the context of these ultrasound evaluation methods.
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Purpose: Abnormal liver blood tests (ALBTs), neutropenia (NEU) and thymic hyperplasia (TH) are new features of Graves' disease (GD). Our objectives were: (a) to calculate the accuracy of TH in discriminating between Graves' and non-Graves' thyrotoxicosis, compared to ALBTs, NEU and Graves' orbitopathy (GO); (b) to explore the outcome of GD-associated TH and non-GD-associated TH.

Methods: We prospectively analyzed consecutive adult patients with newly diagnosed thyrotoxicosis from January 2018 to June 2023.

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Introduction: Treatment with [I]mIBG is commonly used in pediatric metastatic neuroblastoma (NB); however, unbound [I]I might be taken up by the thyroid, causing hypothyroidism. To prevent this occurrence, thyroid blockade with iodine salts is commonly used; despite this precaution, thyroid dysfunction still occurs. This review and meta-analysis aim to clarify the mean frequency of hypothyroidism in children with NB treated with [I]mIBG and to investigate the possible causes.

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(1) Background: this study aimed to assess the physical activity of obese pediatric patients under specialized outpatient care and its potential determinants. (2) Methods: A total of 83 subjects aged 7-18 years with simple obesity and their parents were enrolled. Data were collected with the use of physical activity questionnaires (PAQs) for children and adolescents and additional questions concerning selected socio-demographic characteristics.

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Increased ulcer risk diminishes the quality of life in diabetes. This study assessed abnormalities in foot plantar pressure distribution in adolescents with T1D to detect early signs of ulcer risk. A total of 102 T1D patients, without diabetic neuropathy, were included (mean age 17.

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Purpose: Our purposes were: 1) to estimate the prediction performance (PP) of cytology in identifying papillary thyroid carcinoma (PTC) subtypes; 2) to explore how the PTC subtypes distribute among the American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) categories.

Methods: Nodules were included if both the histology with the PTC subtype report and the cytology report with the possible PTC subtype were available. The PP was calculated by making the proportion of True positives/False positives+false negatives.

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Model-Optimizing Radiofrequency Parameters of 3D Finite Element Analysis for Ablation of Benign Thyroid Nodules.

Bioengineering (Basel)

October 2023

Clinic of Endocrinology and Diabetology, Lugano Regional Hospital, Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland.

Article Synopsis
  • RF ablation is an effective method to decrease the size of thyroid nodules, and a finite element model was developed to optimize the procedure parameters like power and duration for better volume reduction rates.
  • The model simulates the RF ablation process by addressing the electrical and thermal effects on tissue, utilizing equations to predict temperature distribution and tissue damage.
  • Findings suggest that longer electrode tips are more efficient, needing less power and time for desired outcomes, while higher blood flow in tumors necessitates adjustments in RF settings to achieve the same volume reduction.
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Background: Thyroglobulin is a well-established disease marker during follow-up in paediatric differentiated thyroid cancer. However, no conclusive data on the role of endogenously stimulated thyroglobulin after thyroidectomy (ptTg) in predicting disease-specific outcomes are available. This review aims to establish the prognostic value of ptTg in children with DTC.

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Primary hyperparathyroidism is a hard-to-diagnose condition that can run without symptoms for many years without causing symptoms; yet, it can cause dire long-term consequences, such as osteoporosis and renal impairment. First-line diagnostic methods include ultrasound and parathyroid scintigraphy, which provide unsatisfactory results in terms of detection rate. Second-line imaging methods include [F]F-Choline PET/CT, 4D-CT, and their combination.

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Biochemical abnormalities in the course of type 1 diabetes (T1D) may cause the production/activation of various proteins and peptides influencing treatment and causing a risk of complications. The aim of this study was to assess concentrations of selected serum substances involved in the pathogenesis and course of T1D and to correlate their concentrations with the duration of T1D. The study included patients with T1D ( = 156) at the age of 3-17, who were divided according to the duration of the disease into those newly diagnosed ( = 30), diagnosed after 3-5 ( = 77), 6-7 ( = 25), and over 7 ( = 24) years from the onset of T1D, and age-matched healthy controls ( = 30).

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Article Synopsis
  • Fluoroestradiol PET/CT ([F]FES) is being evaluated for its effectiveness in detecting estrogen receptor density in metastatic breast cancer compared to the more commonly used [F]FDG PET/CT.
  • In a study with 92 patients, [F]FDG had a higher overall detection rate (97%) than [F]FES (86%), although [F]FES outperformed [F]FDG in identifying lesions in certain areas like lymph nodes and bones.
  • The increased sensitivity of [F]FES was particularly noted in patients with lobular breast cancer histology, suggesting that while it may have a lower detection rate overall, it can still be more effective in certain cases.
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Purpose: To summarize the more robust evidence about the performance of tools useful for diagnosis of medullary thyroid carcinoma (MTC) such as calcitonin (Ctn) and other circulating markers, ultrasound (US), fine-needle aspiration (FNA), and other imaging procedures.

Methods: This systematic review of systematic reviews was carried out according to a predefined protocol. A search string was created.

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Silver-Russell syndrome and Turner syndrome in a girl with short stature treated with growth hormone - case report.

Pediatr Endocrinol Diabetes Metab

February 2023

Department and Clinic of Endocrinology and Diabetology for Children and Adolescents, Wroclaw Medical University, Polska.

Introduction: Silver-Russell syndrome (SRS) is a rare condition, affects one in 100,000 births. Turner syndrome (TS) is a chromosomal disorder, with an incidence of one in 2,500 females. Patient with SRS and mosaic 45, X/46,X,del(X) karyotypes can have a wide range of phenotypic manifestations.

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Since the discovery of the role of female hormones in breast cancer (BC) pathophysiology, in vivo detection of oestrogen receptor (ER) distribution has been one of the major goals of nuclear medicine and molecular imaging [...

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Article Synopsis
  • F-FDG PET/CT is an effective diagnostic tool for breast cancer but may be less sensitive in estrogen receptor-positive (ER+) cases.
  • A systematic review and meta-analysis compared F-FDG with F-FES PET/CT, analyzing seven studies involving 171 patients.
  • Results showed that both methods have high sensitivity, but F-FES performed better in detecting lesions, especially in restaging situations, suggesting it may be the preferred choice in those cases.
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Type 1 diabetes (T1D) in the child population is the third most common chronic disease. Diabetic peripheral neuropathy (DPN) is a very disabling and silently developing complication. This prospective, observational study enrolled 182 (93 girls) patients with T1D, aged 16.

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Unlabelled: The aim of the study was to determine gender-specific risk factor sets which could influence optical coherence tomography (OCT) results in children with type 1 diabetes (T1D).

Material And Methods: 175 children with T1D without symptoms of diabetic retinopathy were enrolled, but 330 eyes were used for the final analysis (168 children, mean age 12.81 ± 3.

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To describe the occurrence of diabetic retinopathy, the principles for pediatric care of patients with diabetes, and the utility of optical coherence tomography. Pediatric patients with type 1 diabetes should be screened for diabetic retinopathy upon the lapse of 5 years following the diagnosis. The patients in the time of puberty, who should be screened promptly after the diabetes diagnosis, and patients with type 2 diabetes are the exceptions.

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Introduction: In primary hyperparathyroidism (PHPT), the localization of hyperfunctioning parathyroid gland (HPTG) allows tailored surgery. Although Four-Dimensional Contrast-enhanced Computed Tomography (4DCeCT) and F-choline Positron Emission Tomography/Computed Tomography (PET/CT) are reported to be promising second-line imaging procedures, no meta-analysis of their comparison exists.

Design: we conducted a systematic review and meta-analysis to find original papers reporting the head-to-head comparison of 4DCeCT, F-choline PET/CT and integrated F-choline-PET/4DCeCT.

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Aim: To evaluate dependence of abnormalities in peripheral nerves and retina in children with type 1 diabetes (T1D) using optical coherence tomography angiography (OCTA) and nerve conduction studies (NCS).

Material And Methods: 50 adolescents with T1D without any signs and symptoms of diabetic retinopathy and neuropathy (mean age 16.92±1.

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Background: Percutaneous ethanol injection (PEI) is used for the treatment of benign cystic thyroid nodules. This systematic review and meta-analysis aimed to obtain strong evidence of its long-term efficacy and safety.

Methods: PubMed, CENTRAL, Scopus and Web of Science databases were searched until November 2020 for studies reporting data on volume reduction rate (VRR), compressive symptoms and cosmetic concerns.

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