Madhusudhan K S, Seith A, Khadgawat R, Das P, Mathur S
Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Singapore Med J. 2009 Jul;50(7):e235-8.
Tuberculosis involving the thyroid gland is a rare occurrence. We report a case of cytologically-diagnosed thyroid gland tuberculosis in a 21-year-old man who presented with thyroid swelling of short duration, and describe the magnetic resonance (MR) imaging appearances of the lesion, which to our knowledge, has not been previously described. We also report a rare complication of abscess formation in the track of the fine needle aspiration. The intermediate signal intensity of the lesions on both T1- and T2-weighted MR images may provide a clue about tuberculosis, as clinical suspicion is low due to the rarity of the disease.
甲状腺结核较为罕见。我们报告一例21岁男性经细胞学诊断的甲状腺结核病例，该患者甲状腺肿胀病程较短，并描述了该病变的磁共振（MR）成像表现，据我们所知，此前尚未有过相关描述。我们还报告了细针穿刺路径中形成脓肿这一罕见并发症。病变在T1加权和T2加权MR图像上均表现为中等信号强度，这可能为结核提供线索，因为该病罕见，临床怀疑度较低。
