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Sellar Arachnoidocele: An Unusual Evolution in a Case Report

Open Journal of Clinical Diagnostics 2022年第4期12卷 63-68页

作者： loubna saadaoui Sara Kebabi Chaimaa Nahi Zineb Tnacheri Ouazzani Zineb Imane Pediatric Diabetes Unit Children’s Hospital of Rabat Rabat Morocco

The sellar archnoidocele is a herniation of the subarachnoid space within the sella turcica which is often associated with a variable degree of flattening of the pituitary. Its clinical presentations range from an asymptomatic radiological finding to endocrine and neuro-ophthalmological manifestations. Its management depends on the initial symptomatology and requires long-term follow-up. We report here the case of a young child followed for a statural delay on a GH deficiency secondary to a sellar arachnoidocele, and who presents a rather unusual evolution.

关键词： Sellar Arachnoidocele GH Deficiency Growth Hormone Prognosis

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Papillary Thyroid Carcinoma and Pregnancy: What Impact on Prognosis?

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Case Reports in Clinical Medicine 2023年第1期12卷 22-29页

作者： loubna saadaoui Fatima Zahra Lahmamssi Hayat Aynaou Houda Salhi Nadia Alaoui Ismaili Hanan El Ouahabi Department of Endocrinology Diabetology and Nutrition Hassan II University Hospital Fez Morocco Faculty of Medicine and Pharmacy of Fez Sidi Mohamed Ben Abdullah University Fez Morocco Laboratory of Epidemiology and Research in Health Sciences Fez Morocco Nuclear Medicine Department Hassan II University Hospital Fez Morocco

Introduction: The impact of pregnancy on the prognosis of papillary thyroid carcinoma (PTC) has been debated for several decades;however, no definitive conclusions have been reached. The main objective of this study is to demonstrate the short-term influence of pregnancy on the evolution and prognosis of PTC. Materials and Methods: A prospective descriptive and analytical study was conducted in the Endocrinology and Diabetology Department at the Hassan II University Hospital in Fez, including patients followed for papillary thyroid carcinoma presenting with a pregnancy during the year 2019 and 2020. The follow-up of these patients was continued until 1 year postpartum. We studied the clinical, paraclinical and therapeutic factors that could influence the prognosis of the disease. Results: We included 26 patients. Our study showed a significant correlation between recurrence and the presence of unfavorable histological signs (p = 0.02) as well as the initial Tg level (0.01). However, pregnancy was not an influencing factor (p = 0.41). Conclusion: Pregnancy does not seem to be a factor aggravating the prognosis of differentiated thyroid cancers.

关键词： Papillary Thyroid Carcinoma Well Differentiated Pregnancy Recurrence Prognostic Factors

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