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一名儿科患者行半甲状腺切除术后，在同侧颈部淋巴结中经放射学检测到的结内甲状腺组织。

Radiologically detected intranodal thyroid tissues in ipsilateral cervical lymph nodes after hemithyroidectomy in a pediatric patient.

作者信息

Kung Wai Kit, Chu Ka Man, Fung Kin Fen Kevin, Cheung Tin Yan Elaine

机构信息

Department of Radiology and Imaging, Queen Elizabeth Hospital, Hong Kong SAR, China.

Department of Radiology, Hong Kong Children's Hospital, Hong Kong SAR, China.

出版信息

Radiol Case Rep. 2024 Apr 17;19(7):2710-2713. doi: 10.1016/j.radcr.2024.03.055. eCollection 2024 Jul.

DOI:10.1016/j.radcr.2024.03.055
PMID:38666142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11043777/
Abstract

This case report illustrates the presence of intranodal thyroid tissues in ipsilateral cervical lymph nodes after hemithyroidectomy for multinodular goiter in an adolescent patient. It highlights the rare radiological finding of thyroid tissues within cervical lymph nodes detected by ultrasonography and computed tomography, which is a great mimicker of nodal metastasis.

摘要

本病例报告展示了一名青少年患者因多结节性甲状腺肿行甲状腺半切除术后，同侧颈部淋巴结内存在结内甲状腺组织。它突出了超声和计算机断层扫描检测到的颈部淋巴结内甲状腺组织这一罕见的影像学表现，而这极易被误诊为淋巴结转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/1fcb1b3dfbb4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/77e42a5581f9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/9afacf940405/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/1fcb1b3dfbb4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/77e42a5581f9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/9afacf940405/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/11043777/1fcb1b3dfbb4/gr3.jpg

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Radiol Case Rep. 2024 Apr 17;19(7):2710-2713. doi: 10.1016/j.radcr.2024.03.055. eCollection 2024 Jul.
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本文引用的文献

1
The compensatory enlargement of the remaining thyroid lobe following hemithyroidectomy is small and without impact on symptom relief.甲状腺半切术后，剩余甲状腺叶的代偿性增大较小，对症状缓解无影响。
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Benign intranodal thyroid tissue mimicking nodal metastasis in a patient with papillary thyroid carcinoma: A case report.
甲状腺乳头状癌患者中模拟淋巴结转移的良性结内甲状腺组织：一例报告。
Head Neck. 2015 Sep;37(9):E106-8. doi: 10.1002/hed.23886. Epub 2015 Jun 4.
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Rapid increase in volume of the remnant after hemithyroidectomy does not correlate with serum concentration of thyroid stimulating hormone.甲状腺半切术后残余甲状腺体积的快速增加与促甲状腺激素的血清浓度无关。
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