Kapadia H C, Desai R I, Desai I M, Parikh N R
Department of Pathology, BJ Medical College, Civil Hospital, Ahmedabad.
Indian J Pathol Microbiol. 2001 Apr;44(2):147-8.
Microscopic infiltration of the thyroid gland by amyloid is an uncommon but well recognized phenomenon and significant enlargement of the thyroid due to deposition of amyloid is rarely seen. This condition has to be distinguished from other types of goiters and at times from malignancy. In spite of extensive involvement of the gland by amyloid, thyroid function usually remains normal. Here, we describe a rare case of amyloid goiter without amyloid deposits in any other organs of the body. The case presented in an unusual clinical settings of relatively rapid enlargement of thyroid with pressure symptoms and was unassociated with any immuno-proliferative or chronic diseases.
甲状腺被淀粉样物质微观浸润是一种罕见但已被充分认识的现象,因淀粉样物质沉积导致甲状腺显著肿大的情况很少见。这种情况必须与其他类型的甲状腺肿相鉴别,有时还需与恶性肿瘤相鉴别。尽管甲状腺广泛被淀粉样物质累及,但甲状腺功能通常仍保持正常。在此,我们描述一例罕见的淀粉样甲状腺肿病例,患者身体其他任何器官均无淀粉样物质沉积。该病例呈现出相对快速的甲状腺肿大并伴有压迫症状这一不寻常的临床情况,且与任何免疫增殖性或慢性疾病无关。