Vol 9, No 3 (2015)

National clinical recomendations
Russian clinical practice guidelines for diagnosis and treatment of differentiated thyroid cancer
Bel'tsevich D.G., Vanushko V.E., Mel'nichenko G.A., Mudunov A.M., Rumyantsev P.O., Sleptsov I.V.

Abstract

The project of Russian clinical practice guidelines for diagnosis and treatment of differentiated thyroid cancer is dedicated to the management of patients with differentiated thyroid cancer. The guideline modifications 2016 include the following matters: indication for fine-needle aspiration biopsy, calcitonin screening, standards for biopsy results, indication for suppressive therapy and thyroid replacement therapy, targeted therapy in patients with radioiodine-refractory differentiated thyroid cancer.
Endocrine Surgery. 2015;9(3):7-14
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Russian Association of Endocrinologists clinical practice guidelines for diagnosis and treatment of pheochromocytoma and paraganglioma
Mel'nichenko G.A., Troshina E.A., Bel'tsevich D.G., Kuznetsov N.S., Yukina M.Y.

Abstract

Russian clinical practice guidelines are dedicated to the management of patients with pheochromocytoma and paraganglioma.

Endocrine Surgery. 2015;9(3):15-33
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Clinical practice
Use of specially designed software for assessment of treatment outcomes in diabetic foot outpatient clinics as a part of performance management system in medicine
Udovichenko O.V., Bregovskiy V.B., Demina A.G., Berseneva E.A., Shiriptsingeeva T.D., Nimaeva D.J., Astsatryan L.A., Meshkov D.O.

Abstract

Previously we elaborated software for analysis of diabetic foot outpatient clinic (DFOC) performance parameters. In this study we tested this software in 4 DFOCs in several cities. As a result, we obtained main parameters of treatment efficacy which can be base for elaboration of benchmarks for quality management in this field. This software can be helpful for administrators of the healthcare system in planning of measures for treatment results improvement and in assessment of these efforts efficacy.
Endocrine Surgery. 2015;9(3):34-43
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Clinical Case
The syndrome of multiple endocrine neoplasia type IIA in three generations of one family (continued 50­years of observation)
Sergуikо S.V., Privalov V.A.

Abstract

Syndrome Sipple is the second name of the syndrome of multiple endocrine neoplasia type II (MEN­2A). In 1961 J.H. Sipple described several relatives with medullary thyroid cancer, feohromotsytoma and hyperparathyroidism. The following observation is presented.

Endocrine Surgery. 2015;9(3):44-48
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Features of multiple endocrine neoplasia type 1 the patient 48 years (MEN-1 in a patient of 48)
Sergуikо S.V., Privalov V.A.

Abstract

Given the unique observation of atypical MEN­1 (mixed version) of a man 48 years old, due to the presence 9 of multiple tumors and hyperplasia in 8 different organs (parathyroid glands, pancreatic and thyroid glands, duodenum, lung, stomach, skin and adrenal glands). The peculiarity of this case is medullary carcinoma of the thyroid gland that is usually associated with the syndrome of MEN­2. The patient had typical clinical hypoglycemic syndrome, however, among all the investigated neuroendocrine tumors of the insulin­producing cells were not available, that doesn’t mean there are not revealed (possibly very small) tumors of the pancreas. At the same time, it is known that clinical manifestations of MEN­1 may be due to the cumulative effect of all complex of the hormones produced simultaneously by several multiple tumors.

Endocrine Surgery. 2015;9(3):49-52
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