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正常位置和异位甲状腺组织同时发生格雷夫斯病:一例病例报告及文献复习

Simultaneous occurrence of Graves' disease in eutopic and ectopic thyroid tissues: A case report and review of literature.

作者信息

Khan Shoukat H, Rather Tanveer A, Syed Tajamul

机构信息

Department of Nuclear Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.

出版信息

Indian J Nucl Med. 2012 Oct;27(4):254-6. doi: 10.4103/0972-3919.115399.

Abstract

Ectopic thyroid tissue an uncommon condition results from abnormal migration of the primitive thyroid bud. This may be the only functional thyroid. Ectopic thyroid tissue may sometimes coexist with the eutopic thyroid gland. Hyperthyroidism in association with ectopic thyroid tissue is very uncommon. We report a rare case of simultaneous involvement of ectopic and eutopic thyroid tissue in a married women of 35 years who was referred to our department for a technetium 99m thyroid scan. Coexisting ectopic and eutopic thyroid tissue due to identical histology may have similar response to various stimulatory and inhibitory factors like hormones and immunoglobulin's. Iodine-131 is an easy to administer and effective treatment for patients with simultaneous Graves' disease in the ectopic and eutopic thyroid tissues.

摘要

异位甲状腺组织是一种罕见的情况,由原始甲状腺芽的异常迁移导致。这可能是唯一具有功能的甲状腺。异位甲状腺组织有时可能与正常位置的甲状腺共存。与异位甲状腺组织相关的甲状腺功能亢进非常罕见。我们报告了一例罕见病例,一名35岁已婚女性因进行锝99m甲状腺扫描被转诊至我科,其异位和正常位置的甲状腺组织同时受累。由于组织学相同,共存的异位和正常位置的甲状腺组织可能对各种刺激和抑制因素(如激素和免疫球蛋白)有相似的反应。碘-131对于异位和正常位置的甲状腺组织同时患有格雷夫斯病的患者来说是一种易于给药且有效的治疗方法。

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