Mizokami T, Okamura K, Sato K, Hirata T, Yamasaki K, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
J Clin Ultrasound. 1998 Jul-Aug;26(6):329-32. doi: 10.1002/(sici)1097-0096(199807/08)26:6<329::aid-jcu11>3.0.co;2-y.
We describe a patient with localized painful giant-cell thyroiditis. A 45-year-old woman noticed a tender lump in the left side of the neck. Sonography of the thyroid revealed diffuse swelling of the left lobe with irregular hypoechoic areas. Three months later, the tender swelling subsided, and the hypoechoic areas disappeared without any treatment. There were never any systemic signs of inflammation or thyroid dysfunction. Atypical localized subacute thyroiditis was considered to be the most probable diagnosis based on fine-needle aspiration cytology and serial sonography. Serial sonographic evaluations are useful to avoid unnecessary surgery.
我们描述了一位患有局限性疼痛性巨细胞性甲状腺炎的患者。一名45岁女性注意到颈部左侧有一个压痛性肿块。甲状腺超声检查显示左叶弥漫性肿大，伴有不规则低回声区。三个月后，压痛性肿大消退，低回声区未经任何治疗即消失。从未出现任何炎症的全身症状或甲状腺功能障碍。根据细针穿刺细胞学检查和系列超声检查，非典型局限性亚急性甲状腺炎被认为是最可能的诊断。系列超声评估有助于避免不必要的手术。
