一名甲状腺癌患者产后出现结核性甲状腺炎和粟粒性肺结核。
Tuberculous thyroiditis and miliary tuberculosis manifested postpartum in a patient with thyroid carcinoma.
作者信息
Hizawa K, Okamura K, Sato K, Kuroda T, Yoshinari M, Ikenoue H, Fujishima M
机构信息
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
出版信息
Endocrinol Jpn. 1990 Aug;37(4):571-6. doi: 10.1507/endocrj1954.37.571.
Right nodular goiter with diffuse miliary shadow on chest roentgenogram was found in a postpartum febrile woman. Transbronchial lung biopsy revealed tuberculous granuloma and acid-fast bacilli were found by aspiration cytology of the thyroid. Although chemotherapy was effective, the thyroid nodule remained palpable and the serum thyroglobulin level remained high. Subtotal thyroidectomy revealed papillary carcinoma associated with tuberculosis and lymph nodes metastasis. This seems to be the first case report of a patient with tuberculous thyroiditis, coexisting with thyroid carcinoma, diagnosed by aspiration cytology and treated prior to surgery.
一名产后发热的女性被发现患有右叶结节性甲状腺肿，胸部X线片显示弥漫性粟粒状阴影。经支气管肺活检发现结核性肉芽肿，甲状腺细针穿刺细胞学检查发现抗酸杆菌。尽管化疗有效，但甲状腺结节仍可触及，血清甲状腺球蛋白水平仍高。甲状腺次全切除术显示为与结核相关的乳头状癌及淋巴结转移。这似乎是首例通过细针穿刺细胞学检查诊断为结核性甲状腺炎合并甲状腺癌并在手术前接受治疗的病例报告。
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