Einert A, Blattmann H, Reinhardt M, Moser E
Abteilung Nuklearmedizin, Radiologische Universitätsklinik, Freiburg.
Radiologe. 1995 Aug;35(8):531-4.
The case is reported of a 53-year-old man with differentiated thyroid carcinoma within a hot nodule and typical scintigraphic findings of a unifocal adenoma. Preoperative cytology revealed no malignancy. The preliminary histological diagnosis after hemithyroidectomy on the right side was follicular adenoma. The final histological evaluation, however, revealed follicular carcinoma of the thyroid gland. As a result, a thyroidectomy was performed with postoperative radioiodine treatment. The combination of thyroid carcinoma and hot nodules is extremely rare. In all cases of rapid growing nodules or other abnormalities of the thyroid cytological and/or histological verification is mandatory.
本文报道了一例53岁男性患者，其甲状腺热结节内为分化型甲状腺癌，具有单灶性腺瘤的典型闪烁扫描表现。术前细胞学检查未发现恶性病变。右侧半甲状腺切除术后的初步组织学诊断为滤泡性腺瘤。然而，最终的组织学评估显示为甲状腺滤泡癌。因此，进行了甲状腺切除术并术后进行放射性碘治疗。甲状腺癌与热结节的组合极为罕见。在所有甲状腺结节快速生长或出现其他异常的病例中，进行细胞学和/或组织学验证是必不可少的。
