Cystic parathyroid cancer. Case report.

A patient hospitalized for the assessment of a "thyroid nodule" is presented. Scintigraphically the nodule was cold. Thin needle aspiration biopsy by which 50 ml of a clear fluid was drawn, proved the nodule to be of cystic nature. Phospho-calcium findings allowed the diagnosis of primary hyperparathyroidism though the patient presented no subjective complaints. Histologic examination of the tissue removed intraoperatively revealed a cystic parathyroid neoplasm.

Histopathological data on six cases of hypothyroidism accompanying muscular chronic disease.

This study was carried out on 6 patients with myxedema that showed major muscular alterations. Light and electron microscopic examinations of the striated muscle structure revealed myxedematous myopathy lesions. Considering the existence of several hypotheses regarding the pathogeny of muscular alterations, the authors discuss the likelihood of a myogenic syndrome induced by an immunity deficit in hypothyroidism.

[The incidence of conjugal sterility of endocrine origin]. / La fréquence de la stérilité conjugale d'origine endocrinienne.

During a 14-year interval, 27,000 patients were admitted to the Endocrinological Clinic of Iasi, of whom 337 (207 women and 130 men) for sterility. The endocrine disturbances that may induce sterility are reviewed.

[Benign solitary thyroid nodule (BSTN)]. / Nodulul tiroidian solitar benign.

Out of a series of 210 patients (193 women and 17 men) with BSTN, 62% presented an warm nodule, 25.2% a hot nodule and 11.9% a cold nodule. The highest incidence of the nodule was noticed round the age of 40-50 years. The most common site was the middle and lower area of the right thyroid lobe. The thyroid scintigram provided orientative data regarding the nature of BSTN, the treatment indication being the surgical intervention. Histopathologically, polymorphic aspects ranging from anizofollicular adenoma, adenomatous proliferations areas and hyperfunctional aspect to degenerative sclerous alterations and lymphoplasmocitary infiltrations were noticed. The current hypotheses regarding the etiopathogeny of nodule forming process are discussed. Based on some data in the literature, we consider the nodularization of the thyroid gland as a reactional zone functional desynchronization in the conditions of some great variations of the iodate intaxe.