Journal of Surgical Endocrinology

Journal of Surgical Endocrinology

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Table of Content: Volume 4, Issue 1

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Research Article Pages 148-151

Enucleation of Pancreatic Insulinomas with the use of Intraoperative Ultrasonography

Authors: Patricio Cabané T, Patricio Gac E, Miren Carredano C, Francisco Rodríguez M, Patricio Palavecino R, Iván Gallegos M, Francisco Cordero A, José De La Torre K and José Amat V

Abstract: Tumor-induced hypoglycaemia is very rare, usually caused by a pancreatic beta cell tumor (insulinoma). Symptoms caused by inappropriate insulin secretion usually occur during fasting periods, they can be neurogenic or neuroglycopenic. The diagnosis usually takes up to 2-years, this is biochemical with imaging support. The only curative treatment for an insulinoma is surgical resection (enucleation or partial pancreatectomy).

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Research Article Pages 139-145

Parathyroid Carcinoma Management in an Underdeveloped Country: A Case Series

Authors: Jasmin Cabrera-Luis, Laura Herrera, Manuel Hache-Marliere, Julia Rodriguez, Aldo Crespo and Sylvia Batista

Abstract: Parathyroid carcinoma (PC) is a rare type of cancer that presents in individuals during their 4th or 5th decade of life; most cases are sporadic and of unknown etiology. Approximately 1-2% of cases of hyperparathyroidism are caused by PC; with the average serum calcium levels higher in patients with PC than parathyroid adenomas (15.9 vs 12 mg/dL). Clinical diagnosis is often difficult and almost always invariably obtained after postoperative histopathological confirmation;

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Research Article Pages 146-147

Recurrent Hypoglycemia as a Presenting Symptom for Rare IGF-2 Secreting Retroperitoneal Spindle Cell Neoplasm

Authors: David Thornton, MD, Lux Shah, MPH

Abstract: A 53-year old Asian male presents to the ED with his son who states that the patient had an episode of confusion that lasted 15-20 minutes. The son states that this kind of event has happened 2-3 times in the past week. These episodes were described as a “blank” appearance with confusion and inability to answer questions appropriately. The family states there have not been any motor symptoms or headaches. For the past 3 weeks, the patient’s wife noticed multiple similar episodes with no loss of consciousness, falls, or trauma.

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Research Article Pages 136-138

Robot-Assisted Laparoscopic Adrenalectomy for Large Adrenocortical Carcinoma in a 17-year old Patient

Authors: Michael Boncaldo, Imran Siddiqui

Abstract: Surgical resection remains the standard of care for adrenocortical carcinoma (ACC). The optimal approach for complete surgical resection is constantly evolving as surgeons seek to attain more minimally invasive methods that align with appropriate patient care. While an open approach is most frequently employed, as surgeons seek more minimally

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Research Article Pages 129-135

Post-Operative Chloride Phosphate and Calcium Phosphate Ratios in Hyperparathyroidism Patients

Authors: Courtney Wright MD, Deanne King MD, Jennifer Silva-Nash, MSc, Brendan C Stack Jr, MD

Abstract: Patients referred for evaluation of pHPT. Patient data was collected prospectively preoperatively as well as one month and one year post op. Changes in data were analyzed. T tests were used to determine significance.

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Research Article Pages 125-128

Post-Parathyroidectomy Secondary Hyperparathyroidism in Patients with Primary Hyperparathyroidism Treated by Focused Parathyroidectomy: A Retrospective Case Study

Authors: Alvin Shing-hei Lin, MRCS (HK), MRCS (Edin) and Tam-lin Chow, FRCS (Edin), FHKAM

Abstract: Focused parathyroidectomy has become the surgery of choice for sporadic primary hyperparathyroidism. In certain patients after apparently successful parathyroidectomy, parathyroid hormone (PTH) remains to be elevated despite normalized serum calcium, known as post-parathyroidectomy secondary hyperparathyroidism (PPSH). This study aims to investigate the factors related to PPSH. In addition, the natural course of PPSH will be evaluated and the factors for spontaneous resolution of PPSH analyzed.

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Review Article Pages 116-124

Hormonal Pathology of the Endometrium and Endometrial Carcinoma

Authors: Liane Deligdisch Schor, MD and Angelica Mareş Miceli, MD

Abstract: Numerous health issues of women are related to hormonal anomalies including sexual development, fertility, menopause and benign and malignant gynecologic tumors. Endometrial cancer is the most common gynecologic cancer in the USA, with over 66,570 new cases and 13,000 deaths due to the disease, estimated for 2021. Worldwide, mostly in the industrialized countries, the incidence of this neoplasm has risen by about 20% over the two last decades, with over 380.000 new cases predicted for 2021, while other gynecologic malignancies such as uterine cervical cancer have decreased in spectacular proportions.

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Case Report Pages 112-115

Large Mediastinal Ectopic Parathyroid Adenoma Causing Malignant Hypocalcaemia in a Young Female: A Case Report and Review of Literature

Authors: Aisling Bell, Zeeshan Razzaq, Hamid Mustafa and HP Redmond

Abstract: Ectopic parathyroid tissue can pose difficulties in diagnosis and management of patients with hyperparathyroidism. Due to the embryological origins of the inferior parathyroid glands from the 3rd pharyngeal arch where they develop with the thymus; they can have variable anatomical locations, including the anterior mediastinum. While the incidence of ectopic parathyroid glands varies in the literature mediastinal parathyroid tissue is extremely rare. This anatomical

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Case Report Pages 107-111

Synchronous Bilateral Retroperitoneoscopic Cortical Sparring Adrenalectomies - Case Series and Literature Review

Authors: Tan Jun Guang Kendric MBBS and Sze Ling Wong MD, FRCSC, FRACS

Abstract: Cortical-sparing synchronous bilateral adrenalectomy is one of the rarest operations performed because it is limited to a very small subset of patients with bilateral pheochromocytomas or ACTH-dependent Cushing’s syndrome non-amendable to first-line treatments. Pheochromocytomas occur bilaterally in 3-11% of all patients and up to 60% of patients with hereditary syndromes such as Von Hippel-Lindau (VHL) disease and Multiple Endocrine Neoplasia 2 (MEN2)

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