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  • Author: Eleana Zisimopoulou x
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Vasiliki Venetsanaki Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Eleana Zisimopoulou Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Chrysanthi Zouli Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Maria Boudina Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Konstantinos Gkiouras Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Persefoni Xirou Department of Pathology, Theagenio Hospital, Thessaloniki, Greece

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Aimilia Fotiadou Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Mariana Stamati Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Elpiniki Argyropoulou Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Alexandra Chrisoulidou Department of Endocrinology, Theagenio Hospital, Thessaloniki, Greece

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Background

Mönckeberg sclerosis is a form of calcification of the tunica media of small and medium size arteries. It occurs more often in the peripheral arteries of the lower limbs and it has been associated with diabetes and renal disease. Although there are a few reports of Mönckeberg sclerosis in thyroid vessels, there are no data regarding its significance in thyroid disease.

Objective

The aim was to investigate the possible prognostic value of Mönckeberg sclerosis in thyroid vessels of patients with diagnosed thyroid cancer.

Methods

We retrospectively studied patients with papillary thyroid cancer treated at the Theagenio Hospital of Thessaloniki from 2005 to 2021. The patients were divided into two groups based on the presence, or absence, of histopathological findings of Mönckeberg sclerosis in the thyroid vessels along with papillary thyroid cancer. Patient characteristics, histopathological details, personal history of thyroid disease, and metabolic parameters were compared between the two groups.

Results

Thirty-three patients with papillary thyroid carcinoma and Mönckeberg sclerosis were identified and matched to 33 controls with papillary thyroid cancer, without evidence of Mönckeberg sclerosis. The metabolic profile of patients with Mönckeberg sclerosis was not significantly different from those who did not have Mönckeberg sclerosis. Moreover, the comparison between the two groups did not reveal any remarkable differences in terms of the aggressiveness of the disease.

Conclusion

The presence of Mönckeberg sclerosis does not seem to impact on histological characteristics of patients with papillary thyroid cancer.

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