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成人异位甲状腺内胸腺组织:病例报告及文献复习。

Ectopic intrathyroidal thymic tissue in an adult patient: a case report and review of the literature.

机构信息

Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran.

Department of pathology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Med Case Rep. 2022 May 25;16(1):224. doi: 10.1186/s13256-022-03434-3.

Abstract

BACKGROUND

Ectopic intrathyroidal thymic tissue is a rare diagnosis, specifically in adults. Such ectopic tissue is usually misdiagnosed as benign or malignant thyroid lesions and is mainly investigated by ultrasonography and pathologic examination.

CASE PRESENTATION

We present the case of an adult 31-year-old Persian female patient with a cervical mass and no other significant medical history. The lesion had hypo- to isoechoic features on sonographic imaging, and needle aspiration examination revealed lymphoid cells suspicious of lymphoid malignancies. However, pathologic examination after resection of the lesion showed normal thymic tissue.

CONCLUSIONS

The rare entity of ectopic thymic tissue within the thyroid gland in adult patients requires meticulous examination by clinicians, radiologists, and pathologists to diagnose the condition with high accuracy and plan appropriate management.

摘要

背景

甲状腺内异位胸腺组织是一种罕见的诊断,特别是在成人中。这种异位组织通常被误诊为良性或恶性甲状腺病变,主要通过超声检查和病理检查进行研究。

病例介绍

我们介绍了一位 31 岁的成年波斯女性患者,其颈部有一个肿块,没有其他重要的病史。病变在超声成像上表现为低回声至等回声特征,针吸检查显示疑似淋巴细胞恶性肿瘤的淋巴细胞。然而,病变切除后的病理检查显示正常的胸腺组织。

结论

成人甲状腺内异位胸腺组织的罕见实体需要临床医生、放射科医生和病理学家进行细致的检查,以高精度诊断该疾病并制定适当的管理方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f426/9131618/2b57bff73c3d/13256_2022_3434_Fig1_HTML.jpg

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