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[淀粉样甲状腺肿,一种生长迅速的良性病变]

[Amyloid goitre, a benign entity with fast growth].

作者信息

Ferrer-Gómez Ana, Arias Héctor Pian, Reguero Callejas María Eugenia, Ruz-Caracuel Ignacio

机构信息

Servicio de Anatomía Patológica, Hospital Universitario Ramón y Cajal, Madrid, España.

Servicio de Anatomía Patológica, Hospital Universitario Ramón y Cajal, Madrid, España.

出版信息

Rev Esp Patol. 2022 Sep;55 Suppl 1:S59-S63. doi: 10.1016/j.patol.2020.05.005. Epub 2020 Jul 8.

Abstract

Amyloid goitre is an infrequent benign entity characterized by a rapid increase in the size of the thyroid gland due to amyloid deposit in the parenchyma. Such an increase in size, which takes place over only a few months, can cause symptoms such as dyspnea, dysphagia and dysphonia. We present three cases diagnosed in the same centre and estimated its incidence. All cases showed similar morphology, with varying proportions of thyroid follicles, mature adipose tissue and amyloid. AA Amyloid accumulation was verified and associated to previous pathologies (Crohn's disease, juvenile rheumatoid arthritis and chronic renal disease). One case showed a papillary microcarcinoma. Amyloid goitre is an infrequent entity which should be considered in the differential diagnosis of all patients with goitre, especially those with chronic underlying diseases.

摘要

淀粉样甲状腺肿是一种罕见的良性病变,其特征是由于实质内淀粉样物质沉积导致甲状腺迅速增大。这种在短短几个月内发生的体积增大可引起呼吸困难、吞咽困难和声音嘶哑等症状。我们报告在同一中心诊断的3例病例并估计其发病率。所有病例均表现出相似的形态,甲状腺滤泡、成熟脂肪组织和淀粉样物质的比例各不相同。证实为AA型淀粉样物质蓄积,且与既往疾病(克罗恩病、幼年类风湿关节炎和慢性肾病)相关。1例显示微小乳头状癌。淀粉样甲状腺肿是一种罕见病变,在所有甲状腺肿患者的鉴别诊断中都应予以考虑,尤其是患有慢性基础疾病的患者。

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