{"title":"Novel Findings in Familial Nonmedullary Thyroid Cancer Genetics","authors":"E. Orenes-Piñero","doi":"10.4172/2167-7948.1000E119","DOIUrl":"https://doi.org/10.4172/2167-7948.1000E119","url":null,"abstract":"Thyroid cancer (TC) is the most common endocrine malignancy and its incidence has been increasing sharply since the mid-1990s [1]. TC is a general term that comprises two main groups of neoplasias, depending on the cell type affected by the malignant transformation. 1) Carcinomas originating from the follicular epithelium, referred to as nonmedullary thyroid cancer (NMTC) representing more than 95% of all TC; and 2) carcinomas originating from the parafollicular thyroid C cells, referred to as medullary thyroid cancer (MTC) accounting less than 5% of all TC.","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2015-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000E119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70842326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of the Subclinical Hypothyroidism on the Left Ventricular Systolic and Diastolic Function (pilot study)","authors":"V. V. Nakova","doi":"10.4172/2167-7948.1000177","DOIUrl":"https://doi.org/10.4172/2167-7948.1000177","url":null,"abstract":"Introduction: The clinically manifested hypothyroidism is associated with systolic and diastolic dysfunction. Studies investigating the left ventricular function in subclinical hypothyroidism (ScH) have shown controversial results. The aim of the study was to assess whether ScH is associated with the left ventricular systolic and diastolic dysfunction. \u0000Material and methods: Seventeen consecutive patients with newly diagnosed ScH and 20 healthy euthyroid patients as controls were analyzed. The two groups were appropriate by: age, sex, and body mass index. Laboratory analyses were performed in all patients - determination of TSH, free thyroxin (FT4), free triijodothyronine (FT3), antibodies directed to thyroid peroxidase (TPOAb) and antitiroglobulin antibodies (TgAb), and the assessment of left ventricular systolic and diastolic function by M-mode, two-dimensional echocardiography, pulse, continuous and color-Doppler, advanced echocardiographic modalities Tissue Doppler (TDI) and two-dimensional speckle tracking. \u0000Results: ScH patients had statistically significant lower ejection fraction, smaller ratio s/d (where s is the systolic velocity and d is the diastolic velocity through the pulmonary veins) and lower negative longitudinal global strain compared with the control group (62.1 ± 2.1 vs. 58.7 ± 6.2%, p<0.05, 1.27 ± 0.12 vs. 1.06 ± 0.20, p<0.001, -0.21 ± 0.01 versus -0.19 ± 0.01%, p<0.05, respectively). There was a statistically significant negative correlation of TSH with s/d and S/ TDI (r = 0.43 and r = 0.26, p<0.05, respectively). There was a statistically significant negative correlation of free thyroxine with myocardial performance index (r = -0.17, p<0.05), and a positive correlatin with s/d (r =0.48, p<0.05). \u0000Conclusion: ScH was associated","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2015-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Severe Autoimmune Hyperthyroidism in Two Patients with Pulmonary Arterial Hypertension after Treatment with Epoprostenol","authors":"Pavani Srimatk, Ada","doi":"10.4172/2167-7948.1000176","DOIUrl":"https://doi.org/10.4172/2167-7948.1000176","url":null,"abstract":"Objective: To highlight the increased risk of severe hyperthyroidism leading to decompensation of pulmonary and cardiac hemodynamics post initiation of epoprostenol for treatment of pulmonary arterial hypertension (PAH). \u0000Methods: Review of literature shows an increased incidence of autoimmune thyroid disease in patients \u0000undergoing treatment of PAH with epoprostenol. We describe two incidences of seropositive thyrotoxicosis associated with acute decompensation of pulmonary and cardiac function. \u0000Results: We report two patients with no prior history of thyroid disease who developed severe hyperthyroidism after initiation of epoprostenol. \u0000Conclusions: Clinicians should be aware of the potential for development of severe hyperthyroidism leading to rapid decompensation in cardiac and respiratory status after initiation of epoprostenol in patients","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2015-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family History Correlates with More Aggressive Variants of Papillary ThyroidCancer","authors":"J. Lew","doi":"10.4172/2167-7948.1000175","DOIUrl":"https://doi.org/10.4172/2167-7948.1000175","url":null,"abstract":"Background: Papillary thyroid cancer (PTC) generally occurs sporadically but about 5% of cases are familial in origin. Furthermore, family history has been established as an influential risk factor for PTC. This study determines whether patients with a family history of thyroid cancer harbor more aggressive variants of PTC. \u0000Materials and Methods: A retrospective review of prospectively collected data of 1779 consecutive patients who underwent thyroidectomy was performed. Patients were divided into patients who had a history of PTC in first degree relatives (n=39) and those that did not (n=1740). Patients with PTC on final pathology were further subdivided into those with less aggressive (classic and follicular) and patients with more aggressive (diffuse sclerosing and tall cell) variants of PTC. A two tailed Z test at a significance level of p<0.05 was used to compare groups. \u0000Results: Of 1779 patients included, 39 (2.2%) had a family history of PTC. Of patients with a positive family history, 20 (51.2%) had PTC on final pathology. Furthermore, these patients had a significantly increased incidence of more aggressive variants of PTC at 15.4% (6/39) compared to patients with no family history of PTC at 2.7% (47/1740) (p<0.05). \u0000Conclusions: Patients with a positive family history of PTC have a significantly higher incidence of more \u0000aggressive PTC variants. A positive PTC family history, therefore, should be considered a risk factor for its more aggressive variants","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2015-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differentiated Thyroid Cancer in Children: The Contribution of RadioiodineTherapy","authors":"A. Mhiri, I. Elbez, I. Slim, M. F. B. Slimène","doi":"10.4172/2167-7948.1000171","DOIUrl":"https://doi.org/10.4172/2167-7948.1000171","url":null,"abstract":"Differentiated thyroid carcinoma (DTC) is rare in children but has a relatively good prognosis. We report 10 pediatric thyroid carcinomas, addressed to our department for additional radioiodine therapy. Lung metastases were detected in all of them by the post therapeutic Iodine131-Whole body scan. Also, all of them under went serum thyroglobulin, chest radiography and / or cervico-thoracic computed tomography (CT). Therapeutic efficacy was observed in the all cases after radioiodine treatment. According to our results, we recommend iodine therapy for remnant ablation or residual disease for most children with DTC and a long-term follow-up because disease can recur decades after initial diagnosis and therapy.","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000171","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vargas-Uricoechea Hernando, Bonelo-Perdomo Anilza, Sierra-Torres Carlos Hernán
{"title":"Iodine Deficiency Disorders","authors":"Vargas-Uricoechea Hernando, Bonelo-Perdomo Anilza, Sierra-Torres Carlos Hernán","doi":"10.4172/2167-7948.1000172","DOIUrl":"https://doi.org/10.4172/2167-7948.1000172","url":null,"abstract":"Iodine deficiency disorders are among the most significant public health problems in the world at the present time, especially among children and pregnant women, considered the highest risk population. These disorders hinder socio-economic development in the affected areas. IDD are a permanent natural occurrence that affects the entire planet, which means that the people living in iodine-deficient areas will always be exposed to the consequences of that deficiency, in particular increased perinatal mortality, mental retardation and brain developmental delay. Consequently, it is the major cause of preventable brain damage in childhood, and its elimination is one of the biggest challenges in public health. Iodine is present in small amounts in the body and its main role is to act as the substrate for thyroid hormone synthesis. When dietary requirements are not met, the frequency of IDD increases. In general, these disorders are underdiagnosed and, in many countries, there is no awareness of the associated problems or of the iodine status in the population. \u0000Methods: Accurate methodological review of the medical literature included in the MEDLINE database using the MeSH terms “iodine”, “disorders”, “iodide”, “deficiency”, combined with the logical operators “AND”, “OR” and “NOT” and the “also try” characteristic of data published in “any date”, limiting the search to results including the link with abstracts and full text, exclusively in humans and regardless of gender. For the preliminary evaluation, the following types of studies were selected: clinical trials, meta-analyses, randomized controlled trials, clinical practice guidelines, and review articles. The search was limited to papers published in English, and related to the population between 0 and 18, and adults 19 and over, from January 1974 to November 2014.","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"2015 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2015-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ulcerated Nodal Metastasis from Thyroid Papillary Carcinoma","authors":"I. Cruz, M. Penín","doi":"10.4172/2167-7948.1000170","DOIUrl":"https://doi.org/10.4172/2167-7948.1000170","url":null,"abstract":"Malignant potential of thyroid papillary carcinoma is usually low, with relapses and metastasis limited often to some variants [1] (follicular, tall-cell, insular, columnar, oxyphilic, solid or trabecular, clear-cell and diffuse sclerosing) and risk populations [2] (male, aged, big size, macroscopic invasion, distant metastases, incomplete tumor resection and thyroglobulinemia out of proportion to post treatment scan image).","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2015-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Utility of Color-Flow Doppler Sonography in the Evaluation of Hyperthyroidism","authors":"A. Bhargava","doi":"10.4172/2167-7948.1000E117","DOIUrl":"https://doi.org/10.4172/2167-7948.1000E117","url":null,"abstract":"As with all facets of medicine, the key to uncovering the etiology of an illness lies in performing a careful history and physical examination. Such is also the case when dealing with patients who manifest with hyperthyroidism. Aside from the clinical encounter, physicians have a myriad of diagnostic tools at their disposal. A host of investigations, ranging from a simple blood test to a nuclear thyroid uptake and scan, can be ordered. In recent years, thyroid ultrasonography has established itself as a useful and popular medium for the evaluation of various forms of thyroid dysfunction. One aspect of performing a thyroid ultrasound involves assessing the intra thyroidal blood flow using color-flow Doppler sonography (CFDS).This editorial explores the utility and appropriate use of CFDS in the management of patients with hyperthyroidism.","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2015-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000E117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70842161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Autoimmune Thyroid Diseases Concomitant with Crohn’s Disease and Ulcerative Colitis","authors":"T. Shizuma","doi":"10.4172/2167-7948.1000169","DOIUrl":"https://doi.org/10.4172/2167-7948.1000169","url":null,"abstract":"The coexistence of Crohn’s disease (CD) and autoimmune thyroid diseases [Graves’ disease (GD) and \u0000Hashimoto’s thyroiditis (HT)] is uncommon, although these conditions involve autoimmune processes. This report reviews the English and Japanese literature, including proceedings regarding coexisting CD and the autoimmune thyroid diseases GD and HT, and discusses cases of concomitant CD and GD (six cases) and CD and HT (12 cases), compared with reported concomitant cases of ulcerative colitis and GD.","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2014-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Radiofrequency Ablation for the Papillary Thyroid Micro-carcinoma in the Highrisk Surgical Patient","authors":"E. Jeon, H. Shon, E. Jung","doi":"10.4172/2167-7948.1000167","DOIUrl":"https://doi.org/10.4172/2167-7948.1000167","url":null,"abstract":"Percutaneous ultrasound-guided Radiofrequencyablation (RFA) is a minimally invasive treatment that has been widely used as an alternative to surgery in the care of patients with malignant tumors of the liver, renal cell carcinoma, and other tumors. Recently, RFA is an alternative treatment modality for benign thyroid nodules instead of surgery, mainly for the cosmetic reasons, and limited cases of local recurrences or focal distant metastases of differentiated thyroid cancer in the high-risk reoperative condition or for the palliative purpose. However, RFA for the initial treatment of the DTC is rare. We report a case of RFA for the papillary thyroid microcarcinomain the high-risk surgical patient. A 49-years-old woman with congestive heart failure due to severe mitral valve regurgitation, chronic kidney disease, and type 2 diabetes was incidentally diagnosed with papillary microcarcinoma without metastasis. She underwent RFA. During 5-year follow-up, there is no recurrence of the findings.","PeriodicalId":91565,"journal":{"name":"Journal of thyroid disorders & therapy","volume":"4 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2014-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7948.1000167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}