Yin De-Tao, Wu Wenxun, Cao Shengli, Li Hongqiang
Department of Thyroid Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China ; Key Discipline Laboratory of Clinical Medicine, Zhengzhou, Henan 450052, China.
Case Rep Endocrinol. 2012;2012:862595. doi: 10.1155/2012/862595. Epub 2012 Dec 27.
Objective. To investigate the cause of misdiagnosis and the diagnosis and treatment of tuberculosis of thyroid. Methods. Four cases of tuberculosis of thyroid were reported and the related literature was reviewed, as well as the causes of misdiagnosis and the diagnosis and treatment were discussed. Results. Two cases were misdiagnosis as thyroid adenoma and one case as thyroid carcinoma, while one case as missed diagnosis. Part of resection, local excision, and lobectomy was performed, respectively, with all the patients who were treated with antituberculosis drugs and recovered. Conclusion. The atypical manifestation of tuberculosis of thyroid suggested that it is important to reinforce the knowledge of this disease. Cytological examination by fine-needle aspirate biopsy was helpful to the diagnosis. The first choice was treatment with anti-tuberculosis drugs.
目的。探讨甲状腺结核的误诊原因及诊断与治疗方法。方法。报告4例甲状腺结核病例并复习相关文献，同时讨论误诊原因及诊断与治疗方法。结果。2例被误诊为甲状腺腺瘤，1例被误诊为甲状腺癌，1例漏诊。分别施行部分切除术、局部切除术和叶切除术，所有患者均接受抗结核药物治疗并康复。结论。甲状腺结核的非典型表现提示加强对此病的认识很重要。细针穿刺抽吸活检的细胞学检查有助于诊断。首选抗结核药物治疗。
