Surgical management of adrenal incidentaloma Background: The adrenal incidentaloma is a lesion found on imaging studies for diagnosis of nonadrenal disorders. Most of these patients are not of surgical treatment. Our objective was to describe the clinical features and results of surgical management of adrenal incidentalomas in the Hospital de la Universidad de Chile. Material and Methods: Retrospective descriptive study. Period 2000 to 2009. Information was gathered from medical records and biopsies registers of patients with operated adrenal incidentaloma. Results: We evaluated 24 patients undergoing surgery, 66.7% female, 58.3% between 41 and 70 years. 58.3% were found in the study of abdominal pain. Surgical indications were: size ≥ 4 cm, enlarged in controls, atypical features in the abdominal and pelvic CT and/or functionality. 54.2% were ≥ 4 cm, 16.7% increase in size in controls, 45.8% had atypical features in the abdominal and pelvic CT and 33.3% were functioning, being the most frequent hypercortisolism. In 87.5% of patients the approach was laparoscopically. The morbidity was 12.6% (pneumonia, wound infection and stroke) and perioperative mortality was 0%. Discussion: The adrenal incidentaloma is a rare indication for surgery of adrenal tumors. Before the intervention should be studies in order to evaluate functionality and suspicion of malignancy. Functionating tumors and suspicious of malignancy should be resected, being the laparoscopic approach the election, likely in most cases.
Normal 131 Iodine uptake values at 2 and 24 hours Background: Radiolabeled iodine uptake is a useful tool in the study of thyroid diseases. Aim: To obtain normal values for 131 Iodine thyroid uptake in healthy volunteers. Material and methods: A total of 105 subjects were included (52 males and 53 females), with a mean age of 45 years (range: 20 to 68, evenly distributed in decades). A questionnaire was applied and a clinical examination was performed to rule out endocrine diseases. Serum TSH and anti-thyroperoxidase antibodies were also measured. The oral 131 I dose was 5-10 µCi, and a Thyrad equipment was used for measurements at 2 and 24 h.
1. Conocer los valores normales de TSH durante el embarazo y las últimas recomendaciones
según sociedades internacionales.
2. Conocer el seguimiento y manejo de la enfermedad tiroídea durante el embarazo.
3. Conocer las modificaciones que se debe realizar al tratamiento de la enfermedad tiroídea
previamente diagnosticada, al conocerse el estado de embarazo.
4. Conocer los fármacos recomendados para el manejo de la enfermedad tiroídea durante el
embarazo y puerperio.
5. Conocer la utilidad de la pesquisa de anticuerpos antitiroídeos en el embarazo y a quién solicitarlos.
6. Conocer el seguimiento ecográfico adecuado del feto cuya madre está afectada por alguna
patología tiroídea.
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