Abdullah M A, Saleem M S, Salihi H, Hamid F A, Asaaf H
Department of Pediatrics, Security Forces Hospital, Riyadh, Saudi Arabia.
Ann Trop Paediatr. 1996 Dec;16(4):369-71. doi: 10.1080/02724936.1996.11747853.
A 13-year-old Saudi boy was referred to the paediatric endocrinology clinic for evaluation of rapidly progressive goitre with weight loss of 6 months duration. A clinical diagnosis of possible thyroid malignancy was made. On exploration the mass was found to be tuberculous in origin, attached to the thyroid gland, and responded to partial excision and anti-tuberculous chemotherapy. Tuberculosis should be considered in the differential diagnosis of anterior midline neck masses.
一名13岁的沙特男孩被转诊至儿科内分泌诊所,以评估持续6个月体重减轻伴快速进展性甲状腺肿的情况。临床诊断为可能的甲状腺恶性肿瘤。术中发现肿块起源于结核,附着于甲状腺,经部分切除及抗结核化疗后有反应。在鉴别诊断颈部前正中肿块时应考虑到结核病。