Patial T, Sharma K, Thakur D, Gupta G
Department of General Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh 171001, India.
Department of Radiation Oncology, Rajiv Gandhi Cancer Institute & Research Centre, Sector 5, Rohini, New Delhi 110085, Delhi, India.
Exp Oncol. 2017 Dec;39(4):319-321.
A 42-year-old hypothyroid shepherd presented with a progressive abdominal lump accompanied by nausea and abdominal fullness. In addition, he had worsening hypothyroidism, despite supranormal doses of thyroxine. Computed tomography of the abdomen was suggestive of a mass lesion in relation to the stomach. A resection of the mass was done and the histopathology was suggestive of gastrointestinal stromal tumor. After surgery, the patient became euthyroid. We believe the patient had consumptive hypothyroidism due to the tumor.
一名42岁的甲状腺功能减退的牧羊人出现了一个进行性增大的腹部肿块，伴有恶心和腹胀。此外，尽管服用了超常规剂量的甲状腺素，他的甲状腺功能减退仍在加重。腹部计算机断层扫描提示胃有占位性病变。对肿块进行了切除，组织病理学提示为胃肠道间质瘤。手术后，患者甲状腺功能恢复正常。我们认为该患者因肿瘤导致了消耗性甲状腺功能减退。
