Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus:A case report  

作　　者：Jiang-Bo Liu Shi-Lei Zhang Wen-Long Jiang Hai-Kuan Sun Hao-Chen Yang 

机构地区：[1]Department of Thyroid and Breast Surgery,The First Affiliated Hospital,College of Clinical Medicine,Henan University of Science and Technology,Luoyang 471000,Henan Province,China [2]Clinical Medicine School,The First Clinical College,Chongqing Medical University,Chongqing 400016,China

出　　处：《World Journal of Clinical Cases》2024年第8期1497-1503,共7页世界临床病例杂志

摘　　要：BACKGROUND Patients rarely develop complicated infections in thyroid cysts.Here,we describe a patient with chronic infected unilateral giant thyroid cyst related to diabetes mellitus(DM).CASE SUMMARY A 66-year-old male was admitted due to an evident neck lump for 5 d after approximately 40 years of gradually progressive neck mass and 7 years of DM.Doppler ultrasound and computed tomography scan showed a giant lump in the left thyroid gland lobe.He was diagnosed with a large thyroid nodule complicated by tracheal dislocation and had surgical indications.Surgical exploration revealed evident inflammatory edema and exudation between the left anterior neck muscles,the nodule and glandular tissue.Fortunately,inflammatory lesions did not affect major neck vessels.Finally,a left partial thyroidectomy was performed.Macroscopic observation showed that the cystic thyroid mass consisted of extensive cystic wall calcification and was rich in massive rough sand-like calculi content and purulent matter.Postoperative pathology confirmed benign thyroid cyst with chronic infection.CONCLUSION The progression of this chronic infectious unilateral giant thyroid cyst may have been related to DM,and identifying blood vessels involvement can prevent serious complications during operation.

关 键 词：Thyroid nodule Infection Diabetes mellitus Surgery Case report 

分 类 号：R575.8[医药卫生—消化系统] R576[医药卫生—内科学]