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巨大甲状腺肿的非典型表现:一例以手臂感觉异常为表现的病例报告

Atypical manifestation of giant thyroid goiter: a case report presenting with Arm paresthesia.

作者信息

Chiu Po-Yu, Lin Che-Hsuan, Lu Shih-Chun, Yueh Hann-Ziong

机构信息

Department of Otolaryngology, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.

Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

Front Surg. 2025 Aug 15;12:1619195. doi: 10.3389/fsurg.2025.1619195. eCollection 2025.

Abstract

A 61-year-old male presented with persistent numbness, weakness, and soreness in his left arm. Imaging and fine-needle aspiration cytology indicated a benign thyroid nodule, which was subsequently confirmed by postoperative pathology. The patient recovered uneventfully following surgery, with no evidence of recurrence during follow-up. While large thyroid nodules typically cause tracheal compression, dysphagia, or compromised vascular flow, this rare case involved a mass effect compressing the brachial plexus, resulting in neurological symptoms such as numbness, weakness, and soreness.

摘要

一名61岁男性出现左臂持续麻木、无力和酸痛症状。影像学检查和细针穿刺细胞学检查显示为良性甲状腺结节,术后病理检查随后证实了这一诊断。患者术后恢复顺利,随访期间无复发迹象。虽然大的甲状腺结节通常会导致气管受压、吞咽困难或血管血流受阻,但这个罕见病例涉及肿块压迫臂丛神经,导致麻木、无力和酸痛等神经症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c61/12394508/3d71a3ede63a/fsurg-12-1619195-g001.jpg

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