Surer I, Ozturk H, Cetinkursun S
Department of Pediatric Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
J Pediatr Surg. 2000 Aug;35(8):1263-5. doi: 10.1053/jpsu.2000.8769.
Although extrapulmonary tuberculosis has a broad spectrum of clinical manifestations, involvement of the thyroid gland in children has been reported very rarely. The authors report a case of an 11-year-old girl with a nontender nodular swelling of the thyroid, whose symptoms, tomographic and scintigraphic features, mimicked a nodule with a cystic component. Although seldom observed, tuberculosis should be considered in the differential diagnosis of nodular lesions of the thyroid in children, especially in the patient with known history of exposure to tuberculosis.
尽管肺外结核有广泛的临床表现,但儿童甲状腺受累的报道却非常罕见。作者报告了一例11岁女孩,其甲状腺有一个无压痛的结节性肿大,其症状、断层扫描和闪烁扫描特征类似于一个有囊性成分的结节。尽管很少见,但在儿童甲状腺结节性病变的鉴别诊断中应考虑结核,尤其是有已知结核接触史的患者。