Soni Rajesh Kumar, Sinha Ajit
Department of Surgery, Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi, 110029 India.
Indian J Surg. 2015 Apr;77(Suppl 1):179-81. doi: 10.1007/s12262-015-1243-6. Epub 2015 Mar 28.
Thyroid tuberculosis is very uncommon even in countries where tuberculosis is endemic. It is commonly seen secondary to tubercular infection of other organ or tissue by hematogenous spread. There are many different presentations of thyroid tuberculosis. Before the advent of fine needle aspiration cytology (FNAC), all patients had surgery and thyroid tuberculosis was diagnosed only on biopsy of specimen. Nowadays, FNAC can confirm the diagnosis in many cases, and the patient can be cured by standard anti-tubercular treatment without the need for surgery. Surgery is required only when there is suspicion of malignancy and FNAC is inconclusive.
甲状腺结核即使在结核病流行的国家也非常罕见。它通常继发于其他器官或组织的结核感染经血行播散所致。甲状腺结核有许多不同的表现形式。在细针穿刺细胞学检查（FNAC）出现之前，所有患者均接受手术治疗，甲状腺结核仅通过标本活检确诊。如今，FNAC在许多情况下都能确诊，患者通过标准抗结核治疗即可治愈，无需手术。仅在怀疑有恶性肿瘤且FNAC结果不明确时才需要手术。
