Dogan Lutfi, Karaman Niyazi, Kucuk Ali, Ozaslan Cihangir, Atalay Can, Celebioglu Sait
Department of General Surgery, Ankara Oncology Training and Research Hospital, 06340 Ankara, Turkey.
J Thyroid Res. 2010 Mar 7;2010:759109. doi: 10.4061/2010/759109.
Fine needle aspiration biopsy is the most feasible, safe, and accurate diagnostic tool for thyroid nodule diagnosis. The development of a sinus tract between thyroid gland and the skin through needle tract after fine needle aspiration biopsy is an extremely uncommon phenomenon. In this paper, a 71-year-old man presenting with a swelling and discharge on the anterior neck wall was reported. Similar complaints were present 15 to 20 days after fine needle aspiration biopsy of thyroid gland four years ago. Bilateral total thyroidectomy was performed considering a thyroid malignancy infiltrating the skin. Histopathologic examination confirmed a sinus tract between the thyroid gland and skin and thyroid nodule was benign in nature. It must be kept in mind that inflammatory reactions might also occur after fine needle aspiration biopsy of benign thyroid nodules. In patients with needle biopsy-related inflammation, surgery may be delayed until the inflammation subsides.
细针穿刺活检是甲状腺结节诊断中最可行、安全且准确的诊断工具。细针穿刺活检后经针道在甲状腺与皮肤之间形成窦道是一种极为罕见的现象。本文报道了一名71岁男性，其前颈部壁出现肿胀和渗液。四年前甲状腺细针穿刺活检后15至20天出现了类似症状。考虑到甲状腺恶性肿瘤侵犯皮肤，遂行双侧甲状腺全切除术。组织病理学检查证实甲状腺与皮肤之间存在窦道，且甲状腺结节本质上是良性的。必须牢记，良性甲状腺结节细针穿刺活检后也可能发生炎症反应。对于有针吸活检相关炎症的患者，手术可延迟至炎症消退后进行。
