Pinho Ana N M B M, Ferreira Joana M M, Carneiro Alexandre F L
Family Medicine, UCSP Chaves IB, Portugal.
Vascular Surgery Department, Hospital da Senhora da Oliveira, Guimarães, Portugal.
EJVES Short Rep. 2018 Dec 6;42:8-11. doi: 10.1016/j.ejvssr.2018.10.002. eCollection 2019.
This is the first case report of upper extremity lymphoedema caused by a thyroid tumour. An 87 year old female patient with grade 3 lymphoedema of the upper right extremity was admitted. The lymphoedema had developed over the course of two years. Investigation identified a thyroid tumour, which compressed the mediastinal structures at the right superior thoracic outlet, causing venous congestion, oedema, and lymphoedema. The patient underwent thyroidectomy which markedly improved the lymphatic oedema. Resolution of the compression mechanism was an effective treatment, despite the severity and chronicity of the initial presentation.
这是首例由甲状腺肿瘤引起上肢淋巴水肿的病例报告。一名87岁女性患者因右上肢3级淋巴水肿入院。该淋巴水肿在两年内逐渐发展。检查发现一个甲状腺肿瘤，它在右侧胸廓上口压迫纵隔结构，导致静脉淤血、水肿和淋巴水肿。患者接受了甲状腺切除术，术后淋巴水肿明显改善。尽管最初表现严重且病程较长，但解除压迫机制是一种有效的治疗方法。
