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超声评估在甲状腺结核诊断及监测中的作用:一例病例报告及文献综述

Role of ultrasound evaluation for the diagnosis and monitoring of thyroid tuberculosis: A case report and review of the literature.

作者信息

Yang Gao-Yi, Zhao Dan, Zhang Wen-Zhi, Meng Jun, Li Jun, Li Xiao-Hong, Wan Hai-Fang

机构信息

Department of Ultrasonography, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang 310003, P.R. China.

Department of Pathology, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang 310003, P.R. China.

出版信息

Oncol Lett. 2015 Jan;9(1):227-230. doi: 10.3892/ol.2014.2652. Epub 2014 Oct 31.

DOI:10.3892/ol.2014.2652
PMID:25435964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4246641/
Abstract

Thyroid tuberculosis (TT) is an extremely rare condition, with acute abscess formation being the most uncommon form of presentation. may affect the thyroid gland through hematogenous spread from an extra-thyroid focus of disease or by direct extension from adjacent cervical lymph nodes. Due to the non-specific imaging findings and the variable clinical manifestations, TT is rarely diagnosed promptly prior to percutaneous biopsy or surgery. The present study reports the dynamic monitoring of the sonographic features of a case with thyroid tuberculosis that was diagnosed by a thyroid ultrasound (US) scan, confirmed by a US-guided core-needle biopsy and followed-up sonographically during the whole course of treatment.

摘要

甲状腺结核(TT)是一种极为罕见的病症,急性脓肿形成是其最不常见的表现形式。它可能通过疾病的甲状腺外病灶血行播散或从相邻颈部淋巴结直接蔓延而累及甲状腺。由于影像学表现不具特异性且临床表现多样,甲状腺结核在经皮活检或手术前很少能得到及时诊断。本研究报告了一例经甲状腺超声(US)扫描诊断、US引导下粗针活检证实并在整个治疗过程中进行超声随访的甲状腺结核病例超声特征的动态监测情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/ad7d9432908e/OL-09-01-0227-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/c0b8bff209e7/OL-09-01-0227-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/ee22cd65f29d/OL-09-01-0227-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/ad7d9432908e/OL-09-01-0227-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/c0b8bff209e7/OL-09-01-0227-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/ee22cd65f29d/OL-09-01-0227-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce02/4246641/ad7d9432908e/OL-09-01-0227-g02.jpg

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