Jakibchuk Kalyna, Ali Sophia, Samantray Julie
Department of Internal Medicine, Detroit Medical Center, Wayne State University, Detroit, Michigan, USA.
Department of Endocrinology, Detroit Medical Center, Wayne State University, Detroit, Michigan, USA.
BMJ Case Rep. 2018 Jan 23;2018:bcr-2017-221566. doi: 10.1136/bcr-2017-221566.
A 40-year-old woman with a history of Graves' disease status postorbital decompression for severe ophthalmopathy underwent total thyroidectomy by a high volume thyroid surgeon in July 2013 with a benign final pathology. Eight months later, she presented with a mass on the right anterior neck that showed minimal growth over time. Her thyroid stimulating immunoglobulin and thyroid-stimulating hormone receptor antibody levels were consistently elevated and increasing. She underwent removal of the neck mass in September 2016. Final pathology showed benign thyroid tissue with diffuse hyperplasia and lymphoid follicles, consistent with Graves' disease. We present an unusual recurrence of Graves' disease post-total thyroidectomy that recurred secondary to ectopic thyroid tissue in the right upper anterior neck deep to the strap muscles.
一名40岁女性，有格雷夫斯病病史，因严重眼病接受眶减压术后，于2013年7月由一位经验丰富的甲状腺外科医生为其实施了全甲状腺切除术，最终病理结果为良性。八个月后，她右侧前颈部出现一个肿块，随着时间推移增长极小。她的促甲状腺素受体抗体和甲状腺刺激免疫球蛋白水平持续升高且呈上升趋势。2016年9月她接受了颈部肿块切除术。最终病理显示为良性甲状腺组织，伴有弥漫性增生和淋巴滤泡，符合格雷夫斯病表现。我们报告了一例全甲状腺切除术后格雷夫斯病的罕见复发情况，其复发是由于右上颈部前侧胸锁乳突肌深面的异位甲状腺组织所致。
