颈部异位甲状腺  

Ectopic thyroid gland of the neck

作　　者：丘明生[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院耳鼻喉科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2013年第6期348-351,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：异位甲状腺(ETG)是由发育缺陷引致的一种罕见异例,全身许多部位均可发现,以占总病例约90%的舌根异位甲状腺最为常见。本文介绍2例女患者,1例为舌根部ETG;另1例为颈上部ETG腺瘤。舌根部ETG,根据症状、肿块形态、影像学扫描、甲状腺激素检查及同位素试验确诊。颈部ETG的诊断,需与常易误诊的甲状舌管囊肿鉴别,且需除外转移性癌,确诊:通过细针抽吸活检、影像学扫描(首选"彩超")、甲状腺激素检查及同位素试验。ETG的治疗:酌情选用合适的手术(如甲状腺移植)、必要的甲状腺制剂疗法和定期随访。Ectopic thyroid gland（ETG） is a rare anomaly resulting from developing defects. ETG can be found in many sites of the body. The most frequent location is the lingual base（90% of all ETG）. This article presented 2 female patients：one was ETG of lingual base, the other was ETG with adenoma in the upper neck. Diagnosis of ETG in the lingual base was dependent on symptoms, shape of mass, images scan, thyroxinic examination, and isotope essay. As for the diagnosis of ETG of neck, it is necessary to distinguish between ETG and thyroglossal duct cyst often easily misdiagnostic, and to rule out metastatic carcinoma. Accurate diagnosis depends on needle aspiration biopsy ,images scan （color ultrasonography for first choice）, thyroxinic examination, and isotopic assay. Treatment for ETG includes proper surgery （such as grafting thyroid ）, essential thyroidization, and regular follow-up.

关 键 词：异位甲状腺 细针抽吸活检 彩超 甲状腺移植 甲状腺功能减退 

分 类 号：R653[医药卫生—外科学]