侧方异位甲状腺1例报告及文献复习  

Lateral ectopic thyroid:A case report and literature review

作　　者：刘瑞东[1] 付彤[1] 韩冰[1] 董丙飞[2] 孟伟[2] 宋东[1] LIU RuidongI FU Tong HAN Bing DONG Bingfei MENG Wei SONG Dong(Department of Breast Surgery, First Hospital, Jilin University, Changchun 130021, China Department of Thyroid Surgery, First Hospital, Jilin University, Changchun 130021, China)

机构地区：[1]吉林大学第一医院乳腺外科,吉林长春130021 [2]吉林大学第一医院甲状腺外科,吉林长春130021

出　　处：《吉林大学学报（医学版）》2017年第3期640-642,共3页Journal of Jilin University：Medicine Edition

基　　金：吉林省科技厅科研基金资助课题(20150101205JC)

摘　　要：目的:探讨1例侧方异位甲状腺患者的临床特点、诊断流程及诊治经验。方法:该侧方异位甲状腺患者术前行甲状腺彩超和单光子发射计算机断层成像术(SPECT)-CT确诊。手术切除甲状腺右叶及Ⅳ区甲状腺组织,术后进行病理学检查确诊。术后每日服用优甲乐50μg。结果:患者术后恢复良好,随访10个月生活正常,病情稳定,无复发或转移。结论:侧方异位甲状腺的发生机制尚未明确,手术切除原发甲状腺癌和侧方异位甲状腺组织是一种有效的治疗方式,手术切除后患者预后良好。Objective：To discuss the clinical characteristics,diagnosis and treatment experience of a case of lateral ectopic thyroid.Methods：The patient with lateral ectopic thyroid was diagnosed by thyroid color ultrasound and single-photon emission computed tomography（SPECT）-CT examination.The right thyroidectomy and the thyroid tissue in cervical section Ⅳ of the patient were removed by received the operation.The pathological examination after operation was performed.The daily usage of euthyrox after operation was 50 μg.Results：The patient recovered well,who accepted 10 months follow-up with normal life and stable condition,and had no recurrence and metastasis.Conclusion：The mechanism of lateral ectopic thyroidy is not clear yet,the surgical treatment can result in good effectiveness and better prognosis.

关 键 词：侧方异位甲状腺 甲状腺肿瘤 病例报告 颈动脉鞘 结节性甲状腺肿 

分 类 号：R581[医药卫生—内分泌]