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经腋窝非充气式内镜手术切除异位甲状腺腺瘤的病例报告。

A case report of ectopic thyroid adenoma resection by transaxillary non-inflatable endoscopic surgery.

作者信息

He Ling, Wang Wei, Sheng Jian-Feng

机构信息

Department of Thyroid, Head, Neck and Maxillofacial Surgery, The Third Hospital of Mianyang & Sichuan Mental Health Center, Mianyang, Sichuan 621000, China.

Department of Thyroid, Head, Neck and Maxillofacial Surgery, The Third Hospital of Mianyang & Sichuan Mental Health Center, Mianyang, Sichuan 621000, China.

出版信息

Int J Surg Case Rep. 2024 Jan;114:109181. doi: 10.1016/j.ijscr.2023.109181. Epub 2023 Dec 21.

Abstract

INTRODUCTION AND IMPORTANCE

The ectopic thyroid gland is a rare disease in which abnormal migration of the embryonic thyroid germ is thought to be the basis for the formation of the ectopic thyroid gland.

CASE PRESENTATION

A 37 year old female sought medical attention due to feeling a sensation of swallowing foreign objects, without any other positive symptoms such as pain or difficulty breathing. Preoperative examination revealed a nodule in the left lobe of the thyroid gland and a nodule behind the left lobe. The patient ultimately underwent non-inflatable endoscopic surgery under the axilla to completely remove the tumor located in the suprasternal fossa. Postoperative pathological examination confirmed ectopic thyroid adenoma. The patient's postoperative thyroid function was normal.

CLINICAL DISCUSSION

The diagnosis of ectopic thyroid is difficult due to its highly non-specific histological characteristics and positional changes. However, clinical diagnosis and treatment should not overlook the possibility of ectopic thyroid. On the basis of completely removing the lesion, the transaxillary non-inflatable endoscopic surgery also meets the patient's minimally invasive and aesthetic needs.

CONCLUSION

The diagnosis of ectopic thyroid is difficult, and through transaxillary non-inflatable endoscopic surgery, the tumor can be completely removed and the patient's aesthetic needs can be met.

摘要

引言与重要性

异位甲状腺是一种罕见疾病,胚胎甲状腺原基的异常迁移被认为是异位甲状腺形成的基础。

病例介绍

一名37岁女性因感觉有吞咽异物感前来就医,无疼痛或呼吸困难等其他阳性症状。术前检查发现甲状腺左叶有一个结节以及左叶后方有一个结节。该患者最终在腋下接受了非充气式内镜手术,以完全切除位于胸骨上窝的肿瘤。术后病理检查证实为异位甲状腺腺瘤。患者术后甲状腺功能正常。

临床讨论

由于异位甲状腺的组织学特征高度非特异性且位置多变,其诊断较为困难。然而,临床诊断和治疗不应忽视异位甲状腺的可能性。在完全切除病变的基础上,经腋窝非充气式内镜手术也满足了患者的微创和美观需求。

结论

异位甲状腺的诊断较为困难,通过经腋窝非充气式内镜手术可完全切除肿瘤并满足患者的美观需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3806/10800595/38bc3e45ad12/gr1.jpg

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