一名32岁的男子患有甲状腺状神经瘤:一个病例报告
Il Rae Park1, Min Chong Kim2, Seung Min Chung1
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Journal of Yeungnam medical science
|September 22, 2024
概括
这份病例报告详细介绍了甲状腺形神经瘤的第一例记录. 这种罕见的瘤呈现为无症状的甲状腺质量,强调需要仔细诊断不寻常的甲状腺结节.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 斯瓦诺瘤是神经膜瘤,形斯瓦诺瘤是一种罕见的亚型.
- 甲状腺瘤异常罕见,记录的病例有限.
研究的目的:
- 报告发生在甲状腺的plexiform schwannoma的第一个病例.
- 为了强调诊断挑战和罕见甲状腺质量的管理.
主要方法:
- 一个32岁的男性的案例介绍,偶然发现了甲状腺质量.
- 诊断成像 (CT/MRI) 来评估质量大小,特征和范围.
- 进行手术切除 (右甲状腺切除) 以确定诊断和治疗.
- 通过免疫组织化学 (S100染色) 的组织病理学检查进行确认.
主要成果:
- 在右甲状腺叶中发现了一个5厘米异质的固体质量,延伸到上半体并侵入气管.
- 组织学分析证实 plexiform schwannoma,其特征是S100阳性状细胞.
- 患者康复良好,没有报告手术后并发症.
结论:
- 甲状腺的plexiform schwannoma是一个极其罕见的实体.
- 这一案例强调了甲状腺质量的各种表现,以及考虑罕见诊断的重要性.
- 多学科的方法对于准确的诊断和管理这种罕见的甲状腺瘤至关重要.
相关概念视频
The Thyroid Gland
7.0K
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...
7.0K
Hyperthyroidism I: Introduction
30
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...
30
Hyperthyroidism II: Pathophysiology
28
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...
28
Graves' Disease I: Introduction
23
Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence...
23
Graves Disease II: Pathophysiology
26
Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor,...
26
Goiter
32
Goiter refers to an abnormal enlargement of the thyroid gland that may appear as a diffuse goiter (uniform enlargement) or nodular (single or multiple nodules). Functionally, it is classified as nontoxic (normal/low hormone levels) or toxic (excess hormone production).PathophysiologyDiffuse thyroid enlargement typically results from prolonged stimulation by thyroid-stimulating hormone (TSH) or TSH-like agents, commonly seen in hypothyroidism or iodine deficiency. In contrast, in hyperthyroid...
32


