甲状腺穿刺吸引生検中の急性「亀裂様」出血:症例報告
Yuren Zhang1, Li Yang2, Qing Ni1
1Department of Endocrinology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.
Abstract:
Fine-needle aspiration biopsy (FNAB) is the preferred pathological examination to exclude thyroid cancer. We describe two case studies of acute thyroid lytic hemorrhage and swelling with pain during FNAB. We observed hemorrhages with a crack-like appearance and swelling during the first needle prick, accompanied by pain, in two patients with no coagulation dysfunction. Symptoms were relieved after the intervention. Thyroid hemorrhage with a crack-like pattern is a rare acute hemorrhagic complication of FNAB. The cause is unclear, and an allergic reaction of the glands could not be excluded. Emergency measures must be prepared in advance, as unpredictable complications may occur during FNAB.


