原发性甲状腺结核伪装为带有气管压缩的卵泡瘤:一个病例报告
João Varanda1, Daniel Martins2, Hugo Pais Moreira1
1General Surgery, Unidade Local de Saúde de Gaia/Espinho, Porto, PRT.
Cureus
|January 30, 2026
概括
甲状腺结核病是一种罕见的疾病,模仿甲状腺癌. 诊断是困难的,但分子测试证实了Mycobacterium结核病在切除的甲状腺结节,使得有效的治疗.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 甲状腺结核病 (TB) 是一种不常见的Mycobacterium结核病的肺外表现.
- 它往往以潜伏的方式呈现,并且可以模仿甲状腺恶性瘤,使诊断复杂化.
- 非特定的成像发现和细胞学结果带来了诊断挑战.
研究的目的:
- 报告甲状腺结核病例呈甲状腺结节.
- 突出诊断挑战和分子测试的实用性.
- 强调在结节性甲状腺疾病中考虑结核病的重要性.
主要方法:
- 一个77岁的女性病例报告,甲状腺扩大和结节.
- 诊断工作包括计算机断层扫描 (CT),超声波与甲状腺成像报告和数据系统 (TI-RADS) 分类和细针吸收细胞学 (FNAC).
- 在切除的甲状腺样本上进行了对Mycobacterium结核病复杂DNA的基因病理学检查和聚合酶链反应 (PCR).
主要成果:
- 超声波检查显示,他患有多节,并有TI-RADS 3和TI-RADS 4的结节.
- FNAC建议一个卵泡瘤.
- 组织学证实了毛囊腺瘤与上皮质颗粒瘤,PCR检测到Mycobacterium结核病复杂DNA.
结论:
- 在结节性甲状腺疾病的差异诊断中应考虑甲状腺结核病,特别是在粒状炎症或压缩症状的情况下.
- 分子检测,如PCR,对于准确的诊断和指导适当的抗结核治疗至关重要.
- 早期和准确的诊断可以防止不必要的甲状腺手术.
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