Satoh Shintaro, Inoue Akiko, Kidera Kazuki, Kuratomi Yuichiro, Inokuchi Akira
Department of Otolaryngology, Head and Neck Surgery, Saga University, Faculty of Medicine, Saga.
Nihon Jibiinkoka Gakkai Kaiho. 2007 Jan;110(1):20-3. doi: 10.3950/jibiinkoka.110.20.
We report a case of follicular carcinoma of the thyroid gland with concurrent tuberculous lymphadenitises as neck lymph node metastases of thyroid carcinoma. A 71-year-old woman presented with multiple painless masses in the thyroid gland and painless lymphadenopathies in the right neck. She and her family had no previous history of tuberculosis. A diagnosis of thyroid cancer with lymph node metastases was made, and the patient underwent total thyroidectomy with neck dissection. Lymph nodes were hard and severely adhered to the internal jugular vein. The histopathological diagnosis was follicular carcinoma and multiple nodes of adenomatous goiter of the thyroid gland, and tuberculous lymphadenitises of lymph nodes in the right neck. There was no findings of coexisting pulmonary tuberculosis. The possibility of coexisting tuberculous lymphadenitis must thus be ruled out when we find painless lymph node swelling in aged patients with head and neck cancer including thyroid cancer.
我们报告一例甲状腺滤泡癌合并结核性淋巴结炎，后者作为甲状腺癌的颈部淋巴结转移。一名71岁女性，甲状腺出现多个无痛性肿块，右颈部有无痛性淋巴结病。她和她的家人既往无结核病病史。诊断为甲状腺癌伴淋巴结转移，患者接受了全甲状腺切除术及颈部清扫术。淋巴结质地硬，与颈内静脉严重粘连。组织病理学诊断为滤泡癌、甲状腺多发结节性甲状腺肿以及右颈部淋巴结结核性淋巴结炎。未发现并存肺结核。因此，当我们在包括甲状腺癌在内的老年头颈部癌患者中发现无痛性淋巴结肿大时，必须排除并存结核性淋巴结炎的可能性。
