Lazzarin M, Benati F, Menini C
Divisione di Medicina, Ospedale di Caprino Veronese (Verona), ULSS n. 22, Regione Veneto.
Minerva Endocrinol. 1997 Sep;22(3):75-7.
A thyroid hemiagenesis in association with Hashimoto's thyroiditis and mild hypofunction in a 40 years woman, is described. It is an unusual association. The clinical, hormonal, immunological, instrumental and cytological diagnosis has been established. The importance of the scintigraphic pattern and the differential diagnosis with other pathological situations, such as Plummer's disease and several destroying processes, is emphasized. It is suggested that thyroid hemiagenesis has not to be regarded as clinically insignificant, in consideration of a possible association with pathologies of the normally developed lobe (Graves' disease, myxoedema, goiter, Hashimoto's thyroiditis, and especially neoplastic degeneration) or with nonthyroid diseases (hyperparathyroidism).
本文描述了一名40岁女性，其甲状腺半侧缺如合并桥本甲状腺炎及轻度甲状腺功能减退，这是一种不寻常的关联。已确立了临床、激素、免疫、影像学及细胞学诊断。强调了闪烁扫描图像模式的重要性以及与其他病理情况（如普卢默病和几种破坏性病变）的鉴别诊断。鉴于甲状腺半侧缺如可能与正常发育叶的病变（格雷夫斯病、黏液性水肿、甲状腺肿、桥本甲状腺炎，尤其是肿瘤性退变）或非甲状腺疾病（甲状旁腺功能亢进）相关联，提示不应将其视为临床无意义。
