隐匿性格雷夫斯病中酷似前纵隔肿瘤的巨大胸腺增生

Massive Thymic Hyperplasia Mimicking Anterior Mediastinal Neoplasia in Occult Graves' Disease.

作者信息

Kennedy Christopher James, Paton David James William

机构信息

Department of Cardiothoracic Anaesthetics, Fiona Stanley Hospital, Perth, Western Australia, Australia.

Department of Anatomical Pathology, PathWest Tissue Pathology, Perth, Western Australia, Australia.

出版信息

Thorac Cardiovasc Surg Rep. 2019 Jan;8(1):e24-e26. doi: 10.1055/s-0039-1692188. Epub 2019 Jul 15.

DOI:10.1055/s-0039-1692188

PMID:31312591

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6629999/

Abstract

Thymic hyperplasia is a recognized complication of Graves' disease that can present radiologically as an anterior mediastinal mass. We present a unique case of massive thymic hyperplasia occurring in a 24-year-old female without a known history of thyroid or other systemic disease in whom Graves' disease first manifested intraoperatively during thymectomy for presumed neoplasia. We suggest that the work-up of all anterior mediastinal masses should include a comprehensive search for medical causes of reversible thymic enlargement.

摘要

胸腺增生是格雷夫斯病公认的一种并发症，在影像学上可表现为前纵隔肿块。我们报告了一例独特的巨大胸腺增生病例，该病例发生在一名24岁女性身上，她没有已知的甲状腺或其他全身性疾病史，在因疑似肿瘤而行胸腺切除术时，格雷夫斯病首次在术中被发现。我们建议，对所有前纵隔肿块的检查应包括全面寻找可逆性胸腺肿大的医学原因。