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背侧甲状腺残留物影响甲状腺切除术的完整性:一个病例报告
Emin Gurleyik1, Emin Gonullu1, Erman Yekenkurul1
1Department of Surgery, Duzce University, Faculty of Medicine, Duzce, Turkey.
International journal of surgery case reports
|June 8, 2024
概括
胚胎变异可能导致甲状腺切除术后残留的甲状腺组织,影响激素水平. 外科医生意识到这些解剖变异对于成功的甲状腺手术结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 手术解剖学手术解剖学
- 胚胎学 胚胎学
背景情况:
- 甲状腺切除术是许多甲状腺疾病的主要治疗方法.
- 胚胎解剖变异可能会使完全切除甲状腺组织变得复杂.
研究的目的:
- 要突出胚胎遗留物对甲状腺切除术结果的影响.
- 强调胚胎学考虑在手术规划中的重要性.
主要方法:
- 在甲状腺切除术后出现甲状腺后部残留的患者的病例介绍.
- 利用甲状腺核扫描和胸部MRI来识别遗留组织.
- 分析了血清TSH和甲状腺蛋白水平.
主要成果:
- 患者保持正常的甲状腺激素水平,由于功能性甲状腺后部残留而没有替代.
- 鉴定了在甲状腺管中的一个分离的甲状腺残留物作为激素生产的来源.
- 证明胚胎学变异可以防止完全的甲状腺切除术.
结论:
- 外科医生对胚胎解剖变异的认识对于改善甲状腺手术成功至关重要.
- 一种胚胎学知情的方法可以帮助实现全甲状腺切除术.
- 识别和解决这些变异可以防止需要术后激素替代治疗.
相关概念视频
The Thyroid Gland
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Hyperthyroidism I: Introduction
Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Hyperthyroidism II: Pathophysiology
Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...

