亚急性甲状腺炎呈现为疼痛的甲状腺结节和亚临床甲状腺功能障碍症:一个病例报告
Merlin Perez Navarro1, Diane Krieger2
1Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus
|October 8, 2024
概括
这份病例报告描述了一名最初怀疑患有甲状腺癌的患者,原因是结节和可疑的超声检查结果. 诊断转移到亚急性甲状腺炎,在没有手术的情况下消失.
科学领域:
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 甲状腺结节和亚临床甲状腺功能障碍可以呈现含糊不清的特征.
- 区分良性和恶性甲状腺疾病对于适当的管理至关重要.
研究的目的:
- 报告一个错误诊断的亚急性甲状腺炎病例,最初怀疑是甲状腺恶性瘤.
- 强调甲状腺病理学中准确诊断的重要性.
主要方法:
- 一个55岁妇女的病例介绍,她患有部疼痛和消化不良.
- 诊断工作包括超声波,细针吸收 (FNA) 活检 (贝塞斯达III),甲状腺功能测试和放射性扫描.
- 管理包括内分泌咨询和炎症标志物 (ESR) 的监测.
主要成果:
- 最初的评估表明可疑的甲状腺结节和亚临床甲状腺功能障碍症,导致推右叶切除术.
- 根据临床表现,成像和生化标志物,对亚急性甲状腺炎的诊断进行了修订.
- 甲状腺功能,炎症标志物和症状在七个月内消失.
结论:
- 亚急性甲状腺炎可以模仿恶性甲状腺病理,需要仔细的诊断评估.
- 精确的区分可以防止不必要的手术干预,并确保适当治疗甲状腺疾病.
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