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双自主功能甲状腺结节：一种不寻常的影像学表现。

Dual Autonomously Functioning Thyroid Nodule: An Unusual Imaging Finding.

作者信息

Singhal Tejasvini, Agrawal Kanhaiyalal, Tripathy Tara Prasad, Parida Girish Kumar

机构信息

Department of Nuclear Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

出版信息

Indian J Nucl Med. 2024 Sep-Oct;39(5):393-395. doi: 10.4103/ijnm.ijnm_40_24. Epub 2025 Jan 25.

DOI:10.4103/ijnm.ijnm_40_24
PMID:40061512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11884354/
Abstract

A 48-year-old female, a known case of ulcerative colitis, on routine workup, was incidentally detected to have biochemical hyperthyroidism. Tc pertechnetate thyroid scintigraphy performed for the evaluation of hyperthyroidism revealed two foci of increased tracer uptake in the right thyroid lobe with suppressed uptake in the rest of the thyroid gland consistent with dual autonomously functioning thyroid nodules.

摘要

一名48岁女性，已知患有溃疡性结肠炎，在常规检查中偶然发现生化性甲状腺功能亢进。为评估甲状腺功能亢进进行的锝高锝酸盐甲状腺闪烁扫描显示，右甲状腺叶有两个放射性示踪剂摄取增加的病灶，甲状腺其余部分摄取受抑制，符合双侧自主性功能性甲状腺结节。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ad3/11884354/66d472feaa54/IJNM-39-393-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ad3/11884354/ed506a1558ff/IJNM-39-393-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ad3/11884354/66d472feaa54/IJNM-39-393-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ad3/11884354/ed506a1558ff/IJNM-39-393-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ad3/11884354/66d472feaa54/IJNM-39-393-g002.jpg

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本文引用的文献

1
Radiofrequency Ablation on Autonomously Functioning Thyroid Nodules: A Critical Appraisal and Review of the Literature.射频消融治疗自主功能性甲状腺结节：文献回顾与批判性评价。
Front Endocrinol (Lausanne). 2020 May 22;11:317. doi: 10.3389/fendo.2020.00317. eCollection 2020.
2
ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee.美国放射学会甲状腺影像报告和数据系统（TI-RADS）：美国放射学会TI-RADS委员会白皮书
J Am Coll Radiol. 2017 May;14(5):587-595. doi: 10.1016/j.jacr.2017.01.046. Epub 2017 Apr 2.
3
2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis.
2016年美国甲状腺协会甲状腺功能亢进症及其他甲状腺毒症病因的诊断和管理指南。
Thyroid. 2016 Oct;26(10):1343-1421. doi: 10.1089/thy.2016.0229.
4
Autonomous functioning thyroid nodules and 131I in diagnosis and therapy after 50 years of experience: what is still open to debate?自主功能性甲状腺结节与 131I 在 50 年经验后的诊断与治疗：还有哪些方面存在争议？
Clin Nucl Med. 2013 May;38(5):349-53. doi: 10.1097/RLU.0b013e318286bbda.
5
Prevalence of TSH receptor and Gsalpha mutations in 45 autonomously functioning thyroid nodules in Japan.日本45个自主功能性甲状腺结节中促甲状腺激素受体和Gsα突变的患病率
Endocr J. 2009;56(6):791-8. doi: 10.1507/endocrj.k09e-073. Epub 2009 Jun 24.
6
Lasting disappearance of autonomously functioning thyroid nodule (AFTN) following the TSH stimulation test.促甲状腺激素（TSH）刺激试验后自主功能性甲状腺结节（AFTN）持续消失。
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