Prakash R, Lakshmipathi N, Jena A, Behari V, Chopra M K
J Nucl Med. 1986 Sep;27(9):1423-7.
The rare presentation of hyperthyroidism caused by an intrathoracic goiter with a normal-sized cervical thyroid gland is described. The toxic intrathoracic goiter demonstrated avid uptake of [131I] and [99mTc]pertechnetate, with comparatively faint isotopic accumulation seen in the cervical thyroid. A chest roentgenogram and radioisotope scan should be mandatory in cases of hyperthyroidism having no cervical thyroid enlargement to explore the possibility of a toxic intrathoracic goiter.
本文描述了一例由胸内甲状腺肿引起的甲状腺功能亢进症的罕见病例,其颈部甲状腺大小正常。毒性胸内甲状腺肿对[131I]和高锝[99mTc]有强烈摄取,而颈部甲状腺的同位素积聚相对较淡。对于无颈部甲状腺肿大的甲状腺功能亢进症患者,应常规进行胸部X线检查和放射性同位素扫描,以探究毒性胸内甲状腺肿的可能性。