先天性甲状腺偏侧缺如合并Graves病及单侧甲状腺结节：附1例报告并文献复习

doi:10.3969/j.issn.2095-378X.2024.01.011

外科研究与新技术（中英文） ›› 2024, Vol. 13 ›› Issue (1): 48-50.doi: 10.3969/j.issn.2095-378X.2024.01.011

先天性甲状腺偏侧缺如合并Graves病及单侧甲状腺结节：附1例报告并文献复习

孙金玉¹, 马强²

1.同济大学附属东方医院影像科, 上海 200120;
2.同济大学附属东方医院甲状腺外科, 上海 200120

收稿日期:2022-11-18 出版日期:2024-03-28 发布日期:2024-04-12
通讯作者: 马强,电子信箱：mq_729@163.com

Graves’ disease and unilateral thyroid nodule in congenital thyroid hemiagenesis： One case report and literature review

SUN Jinyu¹, MA Qiang²

1. Department of Imaging, East Hospital Affiliated to Tongji University, Shanghai 200120,China;
2. Department of Thyroid Surgery, East Hospital Affiliated to Tongji University, Shanghai 200120,China

Received:2022-11-18 Online:2024-03-28 Published:2024-04-12

摘要/Abstract

摘要： 目的探讨先天性甲状腺偏侧缺如合并Graves病和甲状腺结节患者的临床特征、发病机制、诊疗情况。方法回顾性分析1例右侧甲状腺腺叶缺如合并Graves病和左侧甲状腺结节患者的临床表现、实验室/辅助检查及诊疗过程,并复习相关文献。结果患者因甲状腺功能亢进症就诊,甲状腺功能和甲状腺摄碘-131试验结果提示Graves病;甲状腺超声检查提示右侧甲状腺腺叶缺如合并左侧甲状腺结节（TI-RADs Ⅳb级）。予以抗甲状腺药物甲巯咪唑治疗,甲状腺功能控制良好,甲状腺结节密切随访中。结论同时合并先天性甲状腺偏侧缺如、Graves病和甲状腺结节的病例极其罕见,通过该病例的分析和相关文献复习,可为这类患者的诊疗积累宝贵经验。

关键词: 甲状腺偏侧缺如, Graves病, 甲状腺结节

Abstract: Objective To investigate the clinical characteristics, pathogenesis, diagnosis, and treatment of patients with congenital thyroid hemiagenesis （TH） complicated with Graves’ disease and thyroid nodule. Methods A retrospective analysis was conducted on a patient with right TH associated with Graves’ disease and left thyroid nodule, and relevant literature was reviewed. Results A patient presented to the clinic with hyperthyroidism. Thyroid function examination and thyroid ¹³¹I uptake test suggested Graves’ disease. Thyroid ultrasound scan demonstrated absence of the right lobe with left thyroid nodule （TI-RADs Ⅳb）. Methimazole was used to control hyperthyroidism and thyroid nodule were followed. Conclusion The combination of TH, Graves’ disease, and thyroid nodule is extremely rare. A better comprehension of such patients through case report and literature review is essential for clinical intervention.

Key words: Thyroid hemiagenesis, Graves' disease, Thyroid nodule

中图分类号:

R736.1

孙金玉, 马强. 先天性甲状腺偏侧缺如合并Graves病及单侧甲状腺结节：附1例报告并文献复习[J]. 外科研究与新技术（中英文）, 2024, 13(1): 48-50.

SUN Jinyu, MA Qiang. Graves’ disease and unilateral thyroid nodule in congenital thyroid hemiagenesis： One case report and literature review[J]. Surgical Research and New Technique, 2024, 13(1): 48-50.

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先天性甲状腺偏侧缺如合并Graves病及单侧甲状腺结节：附1例报告并文献复习

Graves’ disease and unilateral thyroid nodule in congenital thyroid hemiagenesis： One case report and literature review

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