Salih Abdwlwahid M, Abdulla Zanyar Y, Mohammed Dlawar A, Jwamer Vanya I, Ali Pshtiwan G, Hamasaeed Ahmed G, Shkur Hawar H, Omer Jalal K, Salih Rawezh Q, Mohammed Shvan H, Muhialdeen Aso S, Mohammed Karzan, Othman Snur, Kakamad Fahmi H
College of Medicine, Department of Surgery, University of Sulaimani, François Mitterrand Street, Sulaimani, Kurdistan, Iraq.
Sulaimaniy Polytechnical University Presidency, Sulaimani, Kurdistan, Iraq.
Int J Surg Case Rep. 2020;67:267-270. doi: 10.1016/j.ijscr.2020.02.019. Epub 2020 Feb 11.
Although hydatid cysts can affect any organ in the body, reports regarding affection of thyroid gland are scanty in the literature. This report aims to present a case of thyroid hydatid disease with literature review.
A 48-year-old female presented with painless anterior neck mass of about 2 year duration. There was an ill-defined, central anterior neck mass, with a smooth surface and mobile with deglutition. Ultrasound of the thyroid gland revealed an enlarged left lobe of thyroid gland due to well defined thick wall cystic nodule. The patient underwent left thyroid lobectomy under general anesthesia, the pathology report revealed hydatid cyst of thyroid gland.
Liver and lungs are often the end destination for hydatid cysts, while other places like mediastinum, diaphragm, cardiac, smooth and skeletal muscles, abdominal and chest walls are rarely involved. In this case, the cyst affected even a rarer organ which was the left lobe of thyroid gland. Most of the time the disease is asymptomatic and is found accidentally, yet depending on the site and size of the cysts, symptoms can occur.
Hydatid disease of thyroid gland is an extremely rare condition. The main presenting symptom is swelling. Operation under general anesthesia is the only modality of treatment.
尽管包虫囊肿可累及身体的任何器官,但文献中关于甲状腺受累的报道却很少。本报告旨在介绍一例甲状腺包虫病病例并进行文献复习。
一名48岁女性,出现无痛性颈前肿块约2年。颈前中央有一界限不清的肿块,表面光滑,随吞咽活动。甲状腺超声显示左叶甲状腺因边界清晰的厚壁囊性结节而肿大。患者在全身麻醉下接受了左甲状腺叶切除术,病理报告显示为甲状腺包虫囊肿。
肝脏和肺脏常常是包虫囊肿的最终归宿,而纵隔、膈肌、心脏、平滑肌和骨骼肌、腹壁和胸壁等其他部位则很少受累。在本病例中,囊肿累及了一个更为罕见的器官,即甲状腺左叶。大多数情况下,该病无症状,是偶然发现的,但根据囊肿的部位和大小,也可能出现症状。
甲状腺包虫病是一种极为罕见的疾病。主要表现症状为肿胀。全身麻醉下手术是唯一的治疗方式。