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Research Article Pages 148-151
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
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;
Research Article Pages 146-147
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.
Research Article Pages 136-138
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
Research Article Pages 129-135
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.
Research Article Pages 125-128
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.
Review Article Pages 116-124
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.
Case Report Pages 112-115
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
Case Report Pages 107-111
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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