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异位甲状腺组织:颈副神经节瘤的罕见鉴别诊断

Ectopic thyroid tissue: unusual differential diagnosis of cervical paraganglioma.

作者信息

Chahed Houda, Kharrat Ghada, Bechraoui Rim, Marrakchi Jihene, Mediouni Azza, Amor Mohamed Ben, Zainine Rim, Beltaief Nejeh, Besbes Ghazi

机构信息

Department of Oto-Rhino-Laryngology and Cervico-Facial Surgery of 'Rabta' Hospital Tunisia, Medecine Faculty, El ManarUniversity, Tunisia.

出版信息

Pan Afr Med J. 2017 May 16;27:43. doi: 10.11604/pamj.2017.27.43.11495. eCollection 2017.

Abstract

Ectopic thyroid tissue (ETT) lateral to the midline is rare. Its occurrence in the carotid bifurcation is exceptional. We present a 45 years woman who consulted with a slow growing right cervical swelling. Clinical examination Ultrasonography, contrast enhanced CT and cervical MRI concluded to a paraganglioma. Intra-operatively, the tumor didn't have the characteristic aspect of a paraganglioma. Complete excision was performed. Histology concluded to an ectopic micro-vesicular thyroid adenoma.Previous literature was reviewed to summarize clinical and radiologic characteristics of such rare entity. Despite its rarity, ETT must be included in the differential diagnosis of cervical paraganglioma.

摘要

中线外侧的异位甲状腺组织(ETT)很罕见。其出现在颈动脉分叉处的情况更是少见。我们报告一位45岁女性,因右侧颈部缓慢生长的肿物前来就诊。临床检查、超声、增强CT及颈部MRI检查结果均提示为副神经节瘤。术中发现肿瘤并无副神经节瘤的典型表现。遂将肿瘤完整切除。组织学检查结果为异位微泡状甲状腺腺瘤。我们回顾了既往文献以总结这种罕见疾病的临床及影像学特征。尽管其罕见,但在颈部副神经节瘤的鉴别诊断中必须考虑到异位甲状腺组织。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f229/5516674/fe183d12383a/PAMJ-27-43-g001.jpg

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