Navegando por Palavras-chave "Thyroid diseases"

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    Associação de doença tireoideana ao adenoma de paratireóide
    (Colégio Brasileiro de Cirurgiões, 2007-04-01) Rezende, Natália Luiza Palata; Dedivitis, Rogério Aparecido [UNIFESP]; Sauma, Beatriz Inês França Chiquie; Hushi, Gabriel Gimenez; Pfuetzenreiter Jr., Elio G.; Universidade Metropolitana de Santos Faculdade de Medicina; Universidade Federal de São Paulo (UNIFESP); Universidade Metropolitana de Santos
    BACKGROUND: to evaluate the prevalence of incidental thyroid disease in patients with surgical indication due to PH. METHODS: Twenty patients with clinical and laboratorial evidence of HP underwent parathyroidectomy from January, 1998 to December, 2004. The casuistic included 15 women and 5 men, whose ages varied from 44 to 83. The criteria employed for the diagnosis of thyroid disease were clinical, laboratorial, through ultrasound-Doppler, cytopathological analysis of the fine needle aspiration biopsy (FNAB), and intraoperatively. All patients had parathyroid adenoma, with two cases of double adenomas. RESULTS: The clinical examination showed palpation changes in 7 patients, with 5 surgical indications. The laboratorial evaluation presented thyroid function changes in 3 cases. Ultrasound-Doppler indicated thyroid nodular disease in 15 cases, but without impact on the surgical indication. The FNAB of the thyroid nodules was indicated in 9 patients, with 3 cases de papillary carcinoma. Intra-operative exploration did not add any finding to the ultrasound examination. CONCLUSION: The pathological association between thyroid and parathyroid diseases is not rare (75%). The ultrasound is the most sensible method. However, clinical examination and FNAB have a higher impact upon the surgical indication on the thyroid gland during the parathyroid approach.
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    Ultrasonographic assessment of thyroid volume in oldest-old individuals
    (Sbem-Soc Brasil Endocrinologia & Metabologia, 2017) Duarte, Glaucia Cruzes [UNIFESP]; Quirino Araujo, Lara Miguel [UNIFESP]; Magalhaes Filho, Felix [UNIFESP]; Almada Filho, Clineu Mello [UNIFESP]; Cendoroglo, Maysa Seabra [UNIFESP]
    Objective: The aim of this study was to describe the relationship between thyroid volume and age, gender, anthropometric characteristics, and echogenicity in oldest-old subjects in an iodine-sufficient area. Subjects and methods: The study included 81 independent elderly individuals aged >= 80 years (65 [80.2%] women). We determined these individuals' anthropometric characteristics, body mass index (BMI), and lean body mass, as well as thyroid volume and echogenicity by ultrasonography. Results: We observed that octogenarians and nonagenarians had different profiles of thyroid echogenicity. The volume of the thyroid was smaller in nonagenarians than octogenarians (p = 0.012, r = 0.176), and subjects aged 80-89 years had more often hypoechoic glands than those aged >= 90 years (p = 0.01 versus 0.602). Conclusion: The identification of ultrasonographic differences in oldest-old individuals will contribute to establishing preclinical markers, such as echogenicity, to identify individuals at risk of developing autoimmune thyroid disease. Future prospective studies should identify if 80-89-year-old individuals with hypoechoic glands progress to hypothyroidism, and if the absence of changes in echogenicity (i.e. a normal thyroid parenchyma) would have a positive impact on longevity among nonagenarians.