Clinical importance of follicular lesion of undetermined significance (diagnostic category III according to Bethesda System) diagnosed from Fine-Needle Aspiration Biopsy.

Abstract:

INTRODUCTION:Follicular Lesion of Undetermined Significance (FLUS) belongs to the most controversial category of the Bethesda System. The aim of the study was to specify the risk of malignancy in patients with FLUS diagnosis in the material from the Institute of Oncology in Gliwice. This is the first Polish study specifying the risk of malignant neoplasm presence when Fine-Needle Aspiration Biopsy (FNAB) results in a report of diagnostic category III (DC III). MATERIAL AND METHODS:Three hundred and ninety-five primary DC III diagnoses from FNABs of the thyroid gland performed from 2010 to 2015 were analysed. Correspondence of DC III with diagnoses from repeated FNABs and histopathology reports was evaluated. RESULTS:From 395 DC III patients, 27 were treated surgically for clinical indications, receiving six diagnoses of cancer. Repeat FNAB was performed in 180 cases, and primary diagnosis was confirmed in 41 cases. In the second FNAB there was one diagnosis of "Papillary Thyroid Carcinoma" and one "Suspicious for Papillary Thyroid Carcinoma". From eight patients treated surgically in these series prior cytological cancer diagnosis was confirmed in two cases. Forty-six patients were subjected to third and subsequent FNABs; in one case the diagnosis was "Suspicious for Malignancy". In the analysed material the risk of cancer in patients with FLUS is 2.78%. Taking into account all 56 subsequent FNABs in which the primary diagnosis was confirmed, the risk decreases to 2.43%. CONCLUSIONS:The diagnosis of FLUS in the absence of clinical indications is not a basis for surgical treatment.

journal_name

Endokrynol Pol

journal_title

Endokrynologia Polska

authors

Stanek-Widera A,Biskup-Frużyńska M,Zembala-Nożyńska E,Kącik T,Śnietura M,Lange D

doi

10.5603/EP.2016.0002

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

12-6

issue

1

eissn

0423-104X

issn

2299-8306

pii

VM/OJS/J/44065

journal_volume

67

pub_type

杂志文章
  • The detection of macroprolactin by precipitation and ultrafiltration methods.

    abstract:BACKGROUND:Prolactin (PRL) exists in human blood in several molecular forms. Macroprolactin (MaPRL), which most often consists of monomeric PRL and immunoglobulin G, has the highest molecular weight but no biological activity. Immunoassays do not distinguish MaPRL from monomeric PRL, what can lead to an incorrect diagn...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Beda-Maluga K,Pisarek H,Komorowski J,Pawlikowski M,Świętosławski J,Winczyk K

    更新日期:2011-01-01 00:00:00

  • [Diagnostic difficulties in differentiating of arteriovenous fistula -- case report].

    abstract::Arteriovenous carotid-cavernous fistula is an abnormal connection between the dural branches of carotid artery or vertebral artery and the dural sinuses. Its clinical manifestations can resemble the crucial signs of thyroid orbitopathy, an inflammatory disorder of the orbit associated with Graves' disease. Therefore, ...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Reniewska B,Mulak M,Słowiński K,Rusiecka-Ziółkowska J

    更新日期:2007-11-01 00:00:00

  • [Five year remission of GHRH secreting bronchial neuroendocrine tumor with symptoms of acromegaly. Utility of chromogranin A in the monitoring of the disease].

    abstract::Acromegaly is usually caused by excess GH (growth hormone) secretion by pituitary adenoma. Extremely rare (< 1% of cases) acromegaly can be a result of ectopic GHRH (growth hormone releasing hormone) secretion by bronchial tubes, lung, pancreatic or intestinal tumor. The aim of this description is to present the case ...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Bolanowski M,Kos-Kudła B,Rzeszutko M,Marciniak M,Zatońska K

    更新日期:2006-01-01 00:00:00

  • [Thyroid hormones and the cardiomyocytes].

    abstract::The authors present the current knowledge on the intracellular mechanisms of thyroid hormone action in the cardiomyocytes. Many of the clinical manifestations of thyroid diseases are due to the ability of thyroid hormone to alter cardiovascular hemodynamics. Triiodothyronine affects the hemodynamic state mainly by its...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Gatnar A,Marek B,Pakuła D,Kajdaniuk D,Kos-Kudła B,Borgiel-Marek H,Gnot R,Pakuła P,Pawłowska M

    更新日期:2006-03-01 00:00:00

  • Management of patients with secondary and tertiary hyperparathyroidism referred to surgical treatment.

    abstract:INTRODUCTION:Aim of the study was present personal observations connected with the management of patients referred to surgical treatment for secondary hyperparathyroidism (SHT) or tertiary hyperparathyroidism (THT), and to assess immediate results of such management. MATERIAL AND METHODS:A total of 175 patients aged 2...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Buła G,Koziołek H,Niemiec A,Gawrychowski J

    更新日期:2010-05-01 00:00:00

  • [Corticosteroids effect on angiogenesis in heart muscle].

    abstract::The process of angiogenesis in a heart muscle is a way of providing the ischaemic myocardium with oxygen and nutritive ingredients. This natural process called therapeutic angiogenesis has been tried in the treatment of patients with coronary artery disease mainly. It has been seen as a chance of an effective benefici...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Jośko J,Ratman K,Ratman RM

    更新日期:2007-09-01 00:00:00

  • Are adipokines associated with atrial fibrillation in type 2 diabetes?

    abstract:INTRODUCTION:The potential effect of adipokines on the development of AF is yet to be established. The aim of this study was to investigate the association of baseline serum adipokines with 1) the presence of AF at baseline and 2) future risk of AF development. MATERIAL AND METHODS:The current study is a sub-analysis ...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.a2019.0059

    authors: Peller M,Kapłon-Cieślicka A,Rosiak M,Tymińska A,Ozierański K,Eyileten C,Kondracka A,Mirowska-Guzel D,Opolski G,Postuła M,Filipiak KJ

    更新日期:2020-01-01 00:00:00

  • Comparison of thyroid volume and goiter measured by means of ultrasonography and SPECT with use of 131I and 99m)c in smokers and non-smokers.

    abstract:INTRODUCTION:The aim of the study was to estimate the influence of nicotine on thyroid volume according to patients' sex. MATERIAL AND METHODS:A group of 160 patients with thyroid disorders in their past medical history was examined. Patients were divided into two groups: Group A contained 50 patients with goiter, whe...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Gierach M,Gierach J,Junik R

    更新日期:2009-11-01 00:00:00

  • Expression of CD9 and CD82 in papillary thyroid microcarcinoma and its prognostic significance.

    abstract:INTRODUCTION:papillary thyroid microcarcinoma is a well-known malignant neoplasm with good prognosis. The known prognostic factors are patient's age, multifocality, and extrathyroidal extension. CD9 and CD82, members of the tetraspanin family, are expressed in numerous cancer cells and play many roles associated with t...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.a2019.0009

    authors: Kim T,Kim Y,Kwon HJ

    更新日期:2019-01-01 00:00:00

  • [Gene expression analysis by DNA microarray in papillary thyroid cancer].

    abstract::In our study we present chosen elements of microarray analysis of gene expression profile in papillary thyroid cancer. The study group included 16 papillary thyroid cancer tissues and 16 corresponding normal tissues. Samples were analyzed on high density oligonucleotide microarrays (GeneChip HG-U133A) which contain 22...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Gubała E,Wiench M,Oczko-Wojciechowska M,Lange D,Włoch J,Czarniecka A,Chmielik E,Nikiel B,Wygoda Z,Kukulska A,Handkiewicz-Junak D,Szpak-Ulczok S,Krawczyk A,Roskosz J,Jarzab B

    更新日期:2005-09-01 00:00:00

  • [Osteonecrosis of the jaw].

    abstract::The paper concerns osteonecrosis of the jaw (ONJ). It is a rare but serious clinical condition. It can develop in patients treated in oncologic doses with bisphosphonates but also with denosumab. In osteoporosis ONJ seems to be very rare. Definition, pathogenesis, risk factors, prevention and treatment, and the freque...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Drozdzowska B

    更新日期:2011-01-01 00:00:00

  • Genetic testing of PAX8 mutations associated with thyroid dysgenesis in Chinese congenital hypothyroidism patients.

    abstract:INTRODUCTION:Thyroid dysgenesis (TD) is the main cause of congenital hypothyroidism (CH), affecting nearly 1 in 2000-3000 newborns worldwide, as the most common neonatal endocrine disorder. Paired box gene 8 (PAX8), expressed during all stages of thyroid follicular cell, plays a key role in thyroid morphogenesis by a c...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.a2020.0004

    authors: Li M,Wang F,Wang X,Zang Y,Liu W,Wang F,Zhang L,Tang Q,Liu S,Zhao D

    更新日期:2020-01-01 00:00:00

  • Emotions and features of temperament in patients with Addison's disease.

    abstract:INTRODUCTION:Patients with Addison's disease experience many somatic and psychic changes, which decrease their quality of life. The aim of the study was to evaluate the "psychological equipment" of these patients to cope with stress connected with this chronic disease and the challenge of constant treatment. MATERIAL ...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Warmuz-Stangierska I,Baszko-Błaszyk D,Sowiński J

    更新日期:2010-01-01 00:00:00

  • Adrenal-sparing surgery for a hormonally active tumour - a single-centre experience.

    abstract:INTRODUCTION:Surgeries that spare the adrenal cortex during adrenalectomy have profound justification. Indications for this type of surgery are fairly strict, and more than 30 years of observations continuously verify the results of the procedure. MATERIAL AND METHODS:Of a total of 650 adrenalectomies, 22 (3.4%) were ...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.a2020.0033

    authors: Toutounchi S,Pogorzelski R,Wołoszko T,Krajewska E,Celejewski K,Legocka M,Jakuczun W,Gałązka Z

    更新日期:2020-01-01 00:00:00

  • Bone metabolism, osteoprotegerin, receptor activator of nuclear factor-κB ligand and selected adipose tissue hormones in girls with anorexia nervosa.

    abstract:INTRODUCTION:The aim of this study was to determine whether girls with anorexia nervosa (AN) exhibited any relationships between serum levels of LP, ADIPO, RES, VISF, APE-36, APE-12, and bone markers, OPG and sRANKL. MATERIAL AND METHODS:Serum levels of selected adipose tissue hormones, OC, CTx, OPG and sRANKL were as...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.2014.0005

    authors: Ostrowska Z,Ziora K,Oświęcimska J,Świętochowska E,Marek B,Kajdaniuk D,Wołkowska-Pokrywa K,Kos-Kudła B

    更新日期:2014-01-01 00:00:00

  • [Changes in laboratory parameters of thyroid function in children with simple goiter from the Mazovia region].

    abstract::Endocrinological Out-Patients Clinic at Children's Hospital in Dziekanów Leśny takes care of the children from Mazovia region. Hormonal findings in children with simple goiter were analyzed in several groups of patients. In all those patients preferential T3-secretion and decreased T4 production was found. These findi...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Krawczyńska H,Dytkowska E,Wielgus M,Andrzejewski A,Wójcik-Musiałek K,Chmura M,Parucka J,Zmorzyńska T

    更新日期:1992-01-01 00:00:00

  • Occult phosphaturic mesenchymal tumour of femur cortex causing oncogenic osteomalacia - diagnostic challenges and clinical outcomes.

    abstract:BACKGROUND:Tumor induced osteomalacia (TIO) are extremely rare paraneoplastic syndrome with less than 300 reported cases. This report highlights the pitfalls and challenges in diagnosing and localizing TIO in patients with refractory and resistant osteomalacia. PATIENT AND METHODS:41- year gentleman with 4-year histor...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.a2018.0016

    authors: Dutta D,Pandey RK,Gogoi R,Solanki N,Madan R,Mondal A,Dogra S,Thapa P

    更新日期:2018-01-01 00:00:00

  • [Pharmacologic effect of excess iodine on type I thyroxine 5'-deiodinase activity in rat thyroid].

    abstract::Many mechanism may participate in the inhibition of thyroid function by excess of iodine. The present study was aimed at answering the question, whether the excess of iodine influences the activity of type I thyroxine 5'-deiodinase. To 40 female rats fed with standard diet a dose of 42 micrograms of iodine daily was a...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Bednarczuk T,Pietrzykowski A,Słoń M,Nauman A

    更新日期:1993-01-01 00:00:00

  • Comparison of adipose tissue derived genes in endogenous Cushing's syndrome versus diet-induced obesity.

    abstract:INTRODUCTION:Dysregulation of adipokine secretion and action is a characteristic feature of obesity and a key clinical feature of Cushing's syndrome (CS). We have investigated whether endogenous glucocorticoid excess influences adipose tissue-derived gene expression. MATERIAL AND METHODS:mRNA expression of adipokines;...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.a2018.0091

    authors: Denes J,Zsippai A,Kovacs L,Gorombey Z,Kovacs GL,Goth M,Igaz P,Hubina E

    更新日期:2019-01-01 00:00:00

  • The role of i.v. ibandronate administration in osteoporosis therapy.

    abstract::Osteoporosis is a chronic disease of the osseous system characterised by decreased strength of bone tissue, which in turn leads to increased fracture risk. It has been demonstrated that osteoporosis affects more than 30% of women after the menopause (WHO, 1994). However, the disease is also observed in men. The primar...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Sewerynek E,Stuss M

    更新日期:2011-01-01 00:00:00

  • Visceral fat measurement by ultrasound as a non-invasive method - can it be useful in evaluating subclinical atherosclerosis in male patients with hypopituitarism and growth hormone deficiency?

    abstract:INTRODUCTION:Growth hormone (GH) deficiency, either isolated or combined with other pituitary hormone deficiencies, is associated with increased mortality and abnormal body composition, particularly visceral adiposity. We aimed to investigate the effects of GH deficiency with or without sex steroid deficiencies on ultr...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:10.5603/EP.2014.0027

    authors: Topaloglu O,Gokay F,Koparal SS,Akbaba G,Mete T,Arduc A,Tuna MM,Yalcin Y,Yavuz HC,Berker D,Guler S

    更新日期:2014-01-01 00:00:00

  • [Gynecomastia--pathogenesis, diagnosis and treatment].

    abstract::The aim of this review is to present the up-to-date information concerning the prevalence, pathogenesis, diagnosis and treatment of gynecomastia. Gynecomastia is a benign, unilateral or bilateral enlargement of the male breast due to the imbalance between the androgens and estrogens at the breast tissue level. This cl...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Czajka I,Zgliczyński W

    更新日期:2005-05-01 00:00:00

  • [The role of cholecystokinin octapeptide (CCK-8) in regulating thyrotropin secretion in rats. In vivo studies].

    abstract::The effect of cholecystokinin octapeptide (CCK-8) on basal and TRH-stimulated secretion of TSH was investigated in 67 male Sprague-Dawley rats. Blood for TSH determinations was sampled by cannulation of right heart auricle in urethane narcosis before and four times during 60 minutes following CCK-8 administration. It ...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Krowicki ZK,Sadowska-Krowicka H

    更新日期:1989-01-01 00:00:00

  • Clinical implications of GWAS variants associated with differentiated thyroid cancer.

    abstract::The genetic risk of differentiated thyroid cancer (DTC) probably consists of multiple low-penetrance, single-nucleotide polymorphisms (SNP). Such markers are difficult to uncover by linkage analysis but can be revealed by association studies. Genome-wide association studies (GWASs) have uncovered 31 SNPs associated wi...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:10.5603/EP.a2019.0027

    authors: Jendrzejewski JP,Sworczak K,Comiskey DF,de la Chapelle A

    更新日期:2019-01-01 00:00:00

  • Effect of iron overload on endocrinopathies in patients with beta-thalassaemia major and intermedia.

    abstract:INTRODUCTION:Iron overload is a major problem in patients with b-thalassemia major, and it has many structural and metabolic consequences. In this study, we aimed to consider the prevalence of endocrine abnormalities in patients with β-thalassemia major and thalassemia intermedia. MATERIALS AND METHODS:We ordered foll...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Kurtoglu AU,Kurtoglu E,Temizkan AK

    更新日期:2012-01-01 00:00:00

  • Studies on goiter occurrence and iodine deficiency in Lublin Upland (Lublin coordinating center).

    abstract::Questionnaire, clinical, ultrasonographic and biochemical studies (determination of urinary iodine concentration) have been carried out in 1686 children of age between 7 and 13 years living in the Lublin Upland region. The presence of goiter was found in 368 children (21.8%). A gradual increase in the incidence of goi...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Szewczyk L,Beń-Skowronek I,Jaklińska T,Lozowski C

    更新日期:1993-01-01 00:00:00

  • [Effect of naloxone on beta-endorphin and insulin concentrations during glucose tolerance testing in patients with simple obesity].

    abstract::The concentrations of beta-endorphin, ACTH, insulin (IRI), glucagon (IRG), cortisol and growth hormone were determined by radioimmunoassay during oral glucose tolerance test (OGTT) performed in 13 obese patients with normal glucose tolerance and without arterial hypertension. The test was performed in random, before a...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章

    doi:

    authors: Krzyzanowska-Swiniarska B,Gruszczyńska M,Pilarska K,Widecka K,Czekalski S

    更新日期:1993-01-01 00:00:00

  • [Hyperprolactinemia: causes, diagnosis, and treatment].

    abstract::The basic data on hyperprolactinemia (i.e. an excess of PRL above a reference laboratory's upper limits), the most common endocrine disorder of the hypothalamic-pituitary axis are given in this review. The following issues are discussed: regulation of prolactin (Prl) secretion, definition of hyperprolactinemia, its et...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Karasek M,Pawlikowski M,Lewiński A

    更新日期:2006-11-01 00:00:00

  • The role of leptin in the regulation of carbohydrate metabolism.

    abstract::The hormone leptin is secreted from white adipocytes, and serum levels of leptin correlate with adipose tissue mass. Leptin was first described as acting on the satiety centre in the hypothalamus through specific receptors (ob-R) to restrict food intake and enhance energy expenditure. Leptin plays a crucial role in th...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Tucholski K,Otto-Buczkowska E

    更新日期:2011-01-01 00:00:00

  • [Anorexia nervosa].

    abstract::Anorexia nervosa is an eating disorder characterized by conscious restriction of food intake, which causes numerous metabolic and hormonal disorders. Knowledge of these changes is important due to growing morbidity and mortality of anorexia. Treatment is difficult and requires cooperation of a group of specialists, in...

    journal_title:Endokrynologia Polska

    pub_type: 杂志文章,评审

    doi:

    authors: Nogal P,Lewiński A

    更新日期:2008-03-01 00:00:00