关键词: Combined laryngocele Computed tomography Diagnosis Fine-needle biopsy Nodules Ultrasound

Mesh : Adult Biopsy, Fine-Needle Humans Laryngocele / diagnostic imaging pathology Larynx / diagnostic imaging pathology Male Thyroid Nodule / diagnostic imaging pathology Ultrasonography

来  源:   DOI:10.1007/s40477-021-00614-7   PDF(Pubmed)

Abstract:
Laryngocele is defined as a dilation of the laryngeal saccule forming an air sac. Some differential diagnoses for laryngocele have been reported. The aim of the present paper was to describe a case of a patient referred for the evaluation a suspected thyroid nodule that was subsequently diagnosed as a mixed laryngocele. A 31-year-old male with no clinical manifestations was referred by an endocrinologist to undergo Doppler ultrasonography and fine-needle aspiration biopsy due to a preliminary ultrasonographic diagnosis of a nodule apparently in the thyroid. The diagnosis of laryngocele was raised considering the cytopathological analysis and imaging exam. Computed tomography of the neck confirmed this hypothesis. The patient was counseled to consult a surgeon, but, up to the end of this report, continued asymptomatic and in follow-up. We report a mixed laryngocele with different clinical behavior, showing that laryngocele may appear to be another entity and drawing the attention of clinicians to imaging similarities.
摘要:
喉囊被定义为形成气囊的喉囊扩张。已经报道了喉膨出的一些鉴别诊断。本文的目的是描述一例患者的病例,该患者转诊为可疑的甲状腺结节进行评估,随后被诊断为混合性喉膨出。由于对甲状腺结节的初步超声诊断,一名没有临床表现的31岁男性被内分泌学家转介接受多普勒超声检查和细针穿刺活检。考虑到细胞病理学分析和影像学检查,提出了喉癌的诊断。颈部的计算机断层扫描证实了这一假设。建议病人咨询外科医生,但是,到本报告结束时,继续无症状和随访。我们报告了一种具有不同临床行为的混合性喉膨出,这表明喉癌可能是另一个实体,并引起临床医生对影像学相似性的注意。
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