甲状腺结核:被误诊为乳头甲状腺癌 - - 一个罕见的病例报告
Yanhua Tong1, Jiejie Yao1,2, Yingzhen Chen1
1Department of Ultrasound, Civil Aviation Shanghai Hospital, Shanghai, People's Republic of China.
International medical case reports journal
|November 3, 2025
概括
甲状腺结核病 (TTB) 是罕见的,但可以在超声波上模仿甲状腺癌. 这一案例凸显了考虑TTB的重要性,以避免对甲状腺结节进行不必要的手术.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 甲状腺结核病 (TTB) 是一种不常见的疾病,即使在结核病发病率高的地区.
- 越来越多的甲状腺结节检测率引发了对恶性瘤误诊的担忧.
- 在甲状腺超声波中,TTB可以呈现为可疑的病变,模仿恶性瘤.
研究的目的:
- 提高对甲状腺结核病的临床认识.
- 强调区分TTB与恶性甲状腺结节的重要性.
- 通过考虑TTB,突出避免不必要的手术的潜力.
主要方法:
- 一个67岁的妇女的病例报告,怀疑甲状腺结节.
- 诊断工作包括甲状腺超声波 (美国) 和美国指导的细针吸收.
- 手术切除 (左甲状腺切除和淋巴结解剖),然后进行病理学检查.
主要成果:
- 甲状腺超声波显示可疑的低声损伤被归类为C-TI-RADS 4A.
- 精细针吸收不能排除恶性瘤.
- 手术后的病理学证实了带有状死的颗粒状炎症,诊断TTB.
- 患者没有暴露或肺部干扰的病史.
结论:
- 常常被忽视的TTB可能被误诊为甲状腺癌.
- 鉴于甲状腺结节的发病率上升,提高对TTB的认识至关重要.
- 早期考虑TTB可以帮助预防不必要的手术干预.
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