肝关节中的异位甲状腺:一个病例报告和文献综述
Lei Zhang1, Xijun Cui2, Baolei Wang3
1Department of Hepatobiliary Surgery, Qingdao University Affiliated Weihai Central Hospital, Weihai, Shandong, China.
Frontiers in oncology
|May 7, 2024
概括
一个罕见的异胎性甲状腺组织被发现在一个60岁的女性的肝腺带. 这一发现强调了在诊断腹部质量时考虑宫外甲状腺的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
- 胚胎学 胚胎学
背景情况:
- 宫外甲状腺组织是胚胎发育期间原始甲状腺组织异常迁移的结果.
- 虽然子宫外甲状腺可以发生在各种位置,但腹膜下发生的情况,特别是在肝腺带内,非常罕见.
研究的目的:
- 报告一种非常罕见的异胎甲状腺病例,该病例位于肝腺带.
- 讨论在这个解剖区域区分群体的诊断和临床影响.
主要方法:
- 一名60岁的女性患者出现了胆囊结石和胆囊炎.
- 手术前的成像显示,在肝骨关节中存在一个未知的质量.
- 通过腹腔镜胆囊切除手术切除了质量; 组织病理学和免疫组织化学 (甲状腺转录因子-1,甲状腺蛋白) 证实了异位甲状腺组织.
主要成果:
- 组织病理学检查证实切除的质量是异位甲状腺组织.
- 免疫组织化学染色对甲状腺转录因子-1和甲状腺球蛋白呈阳性.
- 诊断后,部检查证实正常运转的正体甲状腺,甲状腺功能测试正常,并在四年后进行超声波检查.
结论:
- 肝关节中的异位甲状腺是一种极其罕见的临床实体.
- 准确的手术前诊断对于适当的治疗和腹部质量的差异诊断至关重要.
- 这个案例为临床医生提供了宝贵的见解,他们遇到了类似的罕见表现.
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