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触诊性甲状腺炎(多灶性肉芽肿性毛囊炎)

Palpation thyroiditis (multifocal granulomatour folliculitis).

作者信息

Carney J A, Moore S B, Northcutt R C, Woolner L B, Stillwell G K

出版信息

Am J Clin Pathol. 1975 Nov;64(5):639-47. doi: 10.1093/ajcp/64.5.639.

DOI:10.1093/ajcp/64.5.639
PMID:1242618
Abstract

Disseminated inflammatory lesions constituting a multifocal granulomatous folliculitis in the thyroid are described. These lesions were present in the majority (greater than 83%) of thyroids removed surgically because of thyroid or nonthyroid (carcinoma of the larynx) disease. They also were found at autopsy in patients who died while hospitalized but not in those who died at home. An identical lesion was produced experimentally in dogs by vigorously squeezing their thyroids. The human folliculitis is believed to result from traumatic injury or rupture of isolated thyroid follicles caused by palpation of the gland (palpation thyroiditis). Palpation thyroiditis may have little, if any, clinical importance. The remote possibility that it might be associated with iatrogenically produced metastasis of thyroid carcinoma is being investigated.

摘要

描述了构成甲状腺多灶性肉芽肿性毛囊炎的播散性炎性病变。这些病变存在于因甲状腺疾病或非甲状腺疾病(喉癌)而手术切除的大多数(超过83%)甲状腺中。在住院期间死亡的患者尸检中也发现了这些病变,但在家中死亡的患者中未发现。通过大力挤压狗的甲状腺在实验中产生了相同的病变。据信人类毛囊炎是由触诊甲状腺(触诊性甲状腺炎)导致孤立的甲状腺滤泡创伤性损伤或破裂引起的。触诊性甲状腺炎可能几乎没有临床重要性,也可能有一定临床重要性。正在研究其与医源性甲状腺癌转移相关的极小可能性。

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