De Rosa G, Testa A, Maurizi M, Satta M A, Aimoni C, Artuso A, Silvestri E, Rufini V, Troncone L
Institute of Endocrinology, Catholic University School of Medicine, Rome, Italy.
Eur J Nucl Med. 1990;17(3-4):179-84. doi: 10.1007/BF00811447.
A young woman with a thyroid papillary carcinoma behaving as an autonomously hyperfunctioning nodule is described. Only 17 similar patients have been seen in the past 25 years. It is emphasized that hyperthyroidism does not exclude malignant disease in hot nodules. This possibility suggests that all thyroid nodules, either cold or hot, require careful management. Therefore, in "at risk" cases, surgery could be the most useful treatment.
本文描述了一名患有甲状腺乳头状癌且表现为自主高功能结节的年轻女性。在过去25年中仅见过17例类似患者。需要强调的是，甲状腺功能亢进并不排除热结节存在恶性疾病的可能性。这种可能性表明，所有甲状腺结节，无论冷结节还是热结节，都需要谨慎处理。因此，在“高危”病例中，手术可能是最有效的治疗方法。
