Takami H, Kozakai M
First Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Endocr J. 1994 Dec;41(6):743-7. doi: 10.1507/endocrj.41.743.
A 49-year-old Japanese woman was referred to our department for evaluation of a thyroid nodule. She underwent subtotal thyroidectomy with modified neck dissection for a follicular thyroid carcinoma, suspected on preoperative diagnosis. The histological diagnosis was tuberculous thyroiditis. She made an uneventful recovery and received antituberculous agents. At follow-up she remains well and is euthyroid. Reports on forty-four patients in the Japanese literature were read. Tuberculous thyroiditis must be differentiated from thyroid cancer and subacute thyroiditis. Surgery plus administration of antituberculous drugs is considered the treatment of choice.
一名49岁的日本女性因甲状腺结节前来我院评估。她因术前诊断怀疑为滤泡性甲状腺癌，接受了甲状腺次全切除术及改良颈部清扫术。组织学诊断为结核性甲状腺炎。她恢复顺利，并接受了抗结核药物治疗。随访时她情况良好，甲状腺功能正常。阅读了日本文献中关于44例患者的报告。结核性甲状腺炎必须与甲状腺癌和亚急性甲状腺炎相鉴别。手术加抗结核药物治疗被认为是首选治疗方法。
