Malotte M J, Chonkich G D, Zuppan C W
Department of Surgery, Loma Linda University School of Medicine, CA 92354.
Arch Otolaryngol Head Neck Surg. 1991 Feb;117(2):214-7. doi: 10.1001/archotol.1991.01870140102017.
Invasive fibrous (Riedel's) thyroiditis is a rare thyroid condition of unknown origin that may be associated with inflammatory fibrosclerosing processes elsewhere in the body. Although the condition is benign and self-limiting, its importance lies in its ability to clinically mimic carcinoma almost completely, necessitating performing an open biopsy to establish the correct diagnosis. In a review of over 700 thyroid operations performed at Loma Linda (Calif) University Medical Center in the past 15 years, we encountered only one documented case of Riedel's thyroiditis. Our patient presented with a firm thyroid mass, vocal cord paralysis, and symptoms of esophageal compression. Surgery was performed to obtain a definitive diagnosis and prevent the possibility of subsequent additional tracheal compression with airway compromise. The pathologic findings, as well as the medical and surgical treatment of this condition, are reviewed.
侵袭性纤维性（里德尔氏）甲状腺炎是一种病因不明的罕见甲状腺疾病，可能与身体其他部位的炎症性纤维硬化过程有关。尽管该疾病是良性且自限性的，但其重要性在于它几乎能在临床上完全模拟癌，因此需要进行开放性活检以确立正确诊断。在回顾过去15年在加利福尼亚州洛马林达大学医学中心进行的700多例甲状腺手术时，我们仅遇到1例有记录的里德尔氏甲状腺炎病例。我们的患者表现为甲状腺质地坚硬、声带麻痹以及食管受压症状。进行手术以获得确切诊断并防止随后出现气道受压导致气道受损的可能性。本文对该疾病的病理表现以及内科和外科治疗进行了综述。
