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巨大原发性甲状腺血管瘤的突发表现:一例罕见病例报告

Sudden onset presentation of giant primary thyroid hemangioma: a rare case report.

作者信息

Al-Maghrabi Haneen, Alardati Hosam, Waggass Ghouth, Aref Mohammed, Heaphy John

机构信息

Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center, Jeddah 23433, Saudi Arabia.

Department of Radiology, King Faisal Specialist Hospital and Research Center, Jeddah 23433, Saudi Arabia.

出版信息

J Surg Case Rep. 2024 Jul 29;2024(7):rjae473. doi: 10.1093/jscr/rjae473. eCollection 2024 Jul.

Abstract

Hemangiomas are considered slow growing benign neoplasms. Primary thyroid hemangiomas are uncommon and may pose difficulty in diagnosis due to absence of distinctive imaging characteristics and related clinical symptoms. It is crucial to precisely identify these lesions to aid in implementing nonsurgical treatment plans rather than resorting to surgical procedures in certain cases. In this report we present a case of a 76-year-old female who presented with painless, rapid, and sudden notice of right-side neck swelling over a 1-day duration. Her radiological examinations raised the concern of a vascular lesion that was emoblized endovascularly. Then, it was surgically removed, which was eventually determined to be primary thyroid hemangioma. In addition, we present a literature review of previously published cases and discuss tumor pathophysiology, clinical presentations, radiology features, and differential diagnosis.

摘要

血管瘤被认为是生长缓慢的良性肿瘤。原发性甲状腺血管瘤并不常见,由于缺乏独特的影像学特征和相关临床症状,可能在诊断上存在困难。准确识别这些病变对于实施非手术治疗方案至关重要,而不是在某些情况下采取手术治疗。在本报告中,我们介绍了一例76岁女性患者,她在1天内出现右侧颈部无痛、快速且突然肿胀。她的影像学检查引发了对血管病变的担忧,并进行了血管内栓塞治疗。随后,病变被手术切除,最终确诊为原发性甲状腺血管瘤。此外,我们对先前发表的病例进行了文献综述,并讨论了肿瘤的病理生理学、临床表现、放射学特征和鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d3f/11285175/5b7f6428afc7/rjae473f1.jpg

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