Leonidas J R, Goldman J M, Wheeler M F
JAMA. 1985 Mar 8;253(10):1436-7.
Masses in the thyroid gland can usually be distinguished from other anterior cervical masses by history, physical examination, and scintigraphic and ultrasonographic examination. We describe four cases of lipomas masquerading as thyroid nodules in which finding from these examinations were consistent with solid thyroid nodules. Computed tomography can distinguish fat from thyroid tissue density, thus avoiding the use of thyroid hormone suppression or the need for urgent surgery.
甲状腺内的肿物通常可通过病史、体格检查、闪烁扫描及超声检查与其他颈前部肿物相鉴别。我们描述了4例伪装成甲状腺结节的脂肪瘤病例,这些检查结果与实性甲状腺结节一致。计算机断层扫描能够区分脂肪与甲状腺组织的密度,从而避免使用甲状腺激素抑制疗法或进行急诊手术。