Trokoudes K M, Rosen I B, Strawbridge H T, Bain J
Can Med Assoc J. 1978 Oct 21;119(8):896-8.
A 51-year-old woman presented with a painful, rapidly enlarging thyroid gland. The serum concentrations of the thyroid hormones were initially at the upper limit of normal, and the uptake of radioactive iodine by the thyroid was completely depressed. Although subacute thyroiditis was suspected, a biopsy specimen from the thyroid showed malignant disease and no evidence of inflammation. At the time of right subtotal lobectomy metastatic breast carcinoma was diagnosed. Thus, primary or secondary malignant disease of the thyroid can simulate thyroiditis and present a serious problem in differential diagnosis.
一名51岁女性因甲状腺疼痛且迅速肿大前来就诊。甲状腺激素的血清浓度最初处于正常上限，甲状腺对放射性碘的摄取完全受抑制。尽管怀疑是亚急性甲状腺炎，但甲状腺活检标本显示为恶性疾病，无炎症迹象。在进行右甲状腺次全切除时，诊断为转移性乳腺癌。因此，甲状腺原发性或继发性恶性疾病可酷似甲状腺炎，在鉴别诊断中构成严重问题。
