Hsu L H, Chen J C, Tsai G J, Tsou M H, Hsu W H
Division of Pulmonary and Critical Care Medicine, Sun Yat-Sen Cancer Center Hospital, 125, Lih-Der Road, Pei-Tou District, Taipei, Taiwan.
Zhonghua Yi Xue Za Zhi (Taipei). 2001 Feb;64(2):115-20.
Hyperplastic changes of the thymus may be found in patients with Graves' disease. However, this rarely presents as an anterior mediastinal mass, particularly among adults. In this report, we describe a 32-year old woman with Graves' disease and hyperthyroidism. During medical evaluation and treatment for her hyperthyroidism, a large anterior mediastinal mass was incidentally discovered. A cytological study of the lesion via computed tomogram-guided fine needle biopsy could not make a definitive diagnosis and suggested the possibility of a thymoma, which led to a surgical exploration. However, the final pathological diagnosis of the surgically removed tissue was thymic hyperplasia. The relationship between Graves' disease and thymic changes is discussed.
格雷夫斯病患者可能会出现胸腺增生性改变。然而，这很少表现为前纵隔肿块，尤其是在成年人中。在本报告中，我们描述了一名患有格雷夫斯病和甲状腺功能亢进症的32岁女性。在对其甲状腺功能亢进症进行医学评估和治疗期间，偶然发现了一个巨大的前纵隔肿块。通过计算机断层扫描引导下的细针穿刺活检对病变进行细胞学研究，未能做出明确诊断，并提示可能为胸腺瘤，这导致了手术探查。然而，手术切除组织的最终病理诊断为胸腺增生。文中讨论了格雷夫斯病与胸腺变化之间的关系。
