Expert-guided session exploring essential endocrine pathology cases with progressive complexity from basic to advanced diagnostic challenges.
Five carefully selected cases that build from foundational concepts to advanced diagnostic challenges in endocrine pathology.
45-year-old female with a 2.5 cm solitary thyroid nodule discovered on routine physical examination. Ultrasound shows a hypoechoic nodule with microcalcifications. Serum TSH is within normal limits. Fine needle aspiration performed.
38-year-old male with hypertension and episodic palpitations. CT scan reveals a 4 cm right adrenal mass with heterogeneous enhancement. Elevated 24-hour urinary catecholamines and metanephrines. Surgical resection performed.
29-year-old female with amenorrhea and galactorrhea for 8 months. MRI shows a 1.2 cm sellar mass with suprasellar extension. Elevated serum prolactin (180 ng/mL). Transsphenoidal resection performed due to visual field defects.
62-year-old male with nephrolithiasis and bone pain. Laboratory studies show elevated serum calcium (11.2 mg/dL) and parathyroid hormone (95 pg/mL). Sestamibi scan localizes to the right lower parathyroid gland. Surgical exploration performed.
56-year-old female with recurrent peptic ulcers and diarrhea. CT scan shows a 2.8 cm pancreatic tail mass with liver lesions. Elevated serum gastrin (850 pg/mL). Whipple procedure performed with liver biopsy of metastatic deposits.
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