上侧甲状腺伪装成逆淋巴结
Smriti Panda1, Alok Thakar1, Aanchal Kakkar2
1Department of Otolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
概括
在癌症手术期间,偶然发现了一种罕见的未下降的副甲状腺在喉后部空间. 这种子宫外腺突出显示了诊断经常出现的甲状腺问题所面临的挑战.
科学领域:
- 内分泌学 在内分泌学.
- 手术解剖学手术解剖学
- 在瘤学瘤学.
背景情况:
- 异位副甲状腺发生在2-22%的人群中.
- 不下降的副甲状腺位于动脉分叉的上方,占宫外腺的2-7%.
- 这些腺体由于其不寻常的位置而带来了诊断挑战.
研究的目的:
- 报告一个偶然发现的副甲状腺在后喉空间的独特案例.
- 讨论高,未下降的副甲状腺在复发性甲状腺功能障碍症中的含义.
- 强调在怀疑甲状腺疾病的手术前成像中包括头骨底部的重要性.
主要方法:
- 一名患有桃腺癌的60岁女性患者接受了桃切除术和后淋巴结解剖.
- 在手术前的MRI中,在后腔空间中发现了一个超强的结构.
- 手术后的组织病理学证实了该结构是正常的副甲状腺.
主要成果:
- 顺便说一句,一个异位副甲状腺被偶然发现在后腔空间.
- 腺体位于口腔大水平上,位于心动脉的中间部.
- 这一发现强调了在异常的宫外部位存在甲状腺组织的可能性.
结论:
- 高,未下降的副甲状腺,包括后腔空间的副甲状腺,可以是遗漏或复发的副甲状腺瘤的来源.
- 在标准的手术前评估和手术探索期间,可能会忽略宫外副甲状腺腺.
- 包括头骨底部在内的全面的手术前成像和彻底的手术探索对于识别这些子宫外腺体至关重要.
相关概念视频
The Parathyroid Glands
2.0K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.0K
The Thyroid Gland
3.7K
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...
3.7K
Cranial Part of Parasympathetic Division
1.1K
The cranial part of the parasympathetic division plays a crucial role in regulating the visceral functions of the head and specific structures in the neck, thoracic, and abdominopelvic cavities. Preganglionic fibers of the parasympathetic division exit the brain through cranial nerves III (oculomotor), VII (facial), IX (glossopharyngeal), and X (vagus), delivering parasympathetic output to the respective visceral structures.
The vagus nerve (cranial nerve X) alone accounts for approximately 75...
The vagus nerve (cranial nerve X) alone accounts for approximately 75...
1.1K
Secondary Lymphoid Organs
1.4K
Secondary organs, including lymph nodes, the spleen, and mucosa-associated lymphoid tissue (MALT), work harmoniously to protect us from disease and infection.
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
1.4K
Sympathetic Pathways: Sympathetic Chain Ganglia
2.4K
The sympathetic chain ganglia, also known as the sympathetic trunk ganglia or paravertebral ganglia, are a series of ganglia located bilaterally on either side of the spinal column. These ganglia serve as relay stations for the sympathetic nervous system. Preganglionic neurons originating in the spinal cord project their axons to the sympathetic chain ganglia. Within the ganglia, these preganglionic fibers synapse with postganglionic neurons.
The postganglionic neurons of the sympathetic trunk...
The postganglionic neurons of the sympathetic trunk...
2.4K
The Pituitary Gland
6.6K
The pituitary is a small endocrine organ in the sphenoid bone under the hypothalamus. Primarily, the pituitary in adults has two distinct anatomical and functional regions— the anterior and posterior lobes. During human fetal development, a third pituitary gland region called the pars intermedia atrophies and disappears. However, some of its cells migrate and exist adjacent to the anterior pituitary in adults.
6.6K


