■甲状腺脂肪瘤病是一种罕见的甲状腺病变。这种情况的确切病因尚不清楚。大多数患者出现压迫症状。颈部超声检查(U/S)和计算机断层扫描(CT)等放射学检查对于评估和诊断含脂肪的甲状腺肿瘤至关重要。而明确的诊断是通过组织病理学研究来实现的。
方法:一名78岁女性患者,具有II型糖尿病和慢性肾脏疾病的背景病史,到我们医院就诊,有七个月的颈部大面积肿胀病史。在体检时,颈部肿块很坚固,结节状,在一致性上很难,和不对称。颈部肿胀与吞咽困难和最小的声音变化有关。实验室调查并不显著。颈部U/S示甲状腺甲状腺肿。还进行了FNA和FNAC。然后,进行颈部CT检查,并检测到双侧分叶脂肪密度。所以,进行了甲状腺全切除术,切除的标本被送去进行组织病理学研究。术后时间顺利。
■弥漫性甲状腺脂肪瘤病是一种罕见的非肿瘤性病变。甲状腺脂肪瘤病的临床特征包括压迫症状。放射学工具和细胞学有助于诊断证明,但具体诊断是通过组织病理学实现的。
结论:由于甲状腺脂肪瘤的病因罕见且发病机制未知,我们报道了一个78岁的女性患者颈部肿大,发现是甲状腺脂肪瘤病.
UNASSIGNED: Thyroid lipomatosis is a rare entity of thyroid gland lesions. The exact etiopathogenesis of this condition is unknown. Most patients presented with compression symptoms. Radiological investigations such as neck ultrasonography (U/S) and computed tomography (CT) are crucial to evaluate and diagnose fat-containing thyroid tumors, while the definitive diagnosis is achieved by the histopathological study.
METHODS: A 78-year-old female patient, with a background medical history of diabetes mellitus type II and chronic kidney disease, presented to our hospital with a seven-month history of large-sized neck swelling. On physical examination, the neck mass was firm, nodular, hard in consistency, and asymmetrical. The neck swelling was associated with swallowing difficulties and minimal voice changes. Laboratory investigations were unremarkable. Neck U/S showed thyroid goiter. FNA and FNAC were also done. Then, neck CT was performed, and bilateral lobulated fat density was detected. So, a total thyroidectomy was performed, and the resected specimen was sent for histopathology studies. The postoperative period was uneventful.
UNASSIGNED: Diffuse thyroid lipomatosis is an unusual non-neoplastic lesion. The clinical features of thyro-lipomatosis include compression symptoms. Radiological tools and cytology aid in diagnosis demonstration but the specific diagnosis is achieved by histopathology.
CONCLUSIONS: Due to the rare etiologic origin and unknown pathogenesis of thyrolipoma, we report the
case of a 78-year-old female patient with enlarged neck swelling, found to be thyroid lipomatosis.