肾上腺异位甲状腺囊性变1例并文献复习  

Ectopic thyroid in the adrenal gland with cystic change:A case report and literature review

作　　者：赵星星 曹石 苏韫 龚红霞 黄勇 ZHAO Xingxing;CAO Shi;SU Yun;GONG Hongxia;HUANG Yong(First Clinical Medical School,Gansu University of Chinese Medicine,Lanzhou 730000;Department of Pathology,First Hospital of Lanzhou University,Lanzhou 730000;School of Basic Medicine,Gansu University of Chinese Medicine,Gansu Provincial Key Laboratory of Molecular Medicine and Traditional Chinese Medicine for Major Diseases,Lanzhou 730000;Department of Pathology,School of Basic Medical Sciences,Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学第一临床医学院,兰州730000 [2]兰州大学第一医院病理科,兰州730000 [3]甘肃中医药大学基础医学院,甘肃省高校重大疾病分子医学与中医药防治研究省级重点实验室,兰州730000 [4]甘肃中医药大学基础医学院病理教研室,兰州730000

出　　处：《临床与病理杂志》2024年第10期1465-1469,共5页Journal of Clinical and Pathological Research

摘　　要：异位甲状腺是指甲状腺原基在胚胎时期下降过程中没有降至甲状腺正常位置,而是位于腺体胚胎下降途径的任何位置或者远处,肾上腺异位甲状腺极为罕见。2024年1月26日兰州大学第一医院收治1例20岁肾上腺异位甲状腺囊性变女性患者,因“体检时发现右侧肾上腺占位1个月余”入院。外院腹部彩色多普勒超声提示:右侧肾上腺区囊性占位,考虑肾上腺囊肿可能。入院后行腹腔镜肾上腺病损切除术并送病理检查,病理诊断为肾上腺异位甲状腺囊性变,遂行腹腔镜肾上腺病损切除术+腹腔镜肾周粘连松解术+腹膜后引流。患者术后查甲状腺B超,未见明确恶性肿瘤性病变。随访至2024年3月1日,超声检查提示未见明显异常。Ectopic thyroid refers to the condition in which the thyroid gland does not descend to its normal position during embryonic development,but instead is located anywhere along the pathway of its descent or at a distant site.Ectopic thyroid in the adrenal gland is extremely rare.On January 26,2024,a 20-year-old female patient with ectopic thyroid cystic change in the adrenal gland was admitted to the hospital.The patient was referred after“right adrenal mass detected during a physical examination for over a month.”Abdominal color Doppler ultrasound from an outside hospital suggested a cystic mass in the right adrenal area,suspected to be an adrenal cyst.Upon admission,the patient underwent laparoscopic adrenal lesion resection and sent for pathologic examination.The pathological diagnosis was ectopic thyroid cystic change in the adrenal gland.The patient then underwent laparoscopic adrenal lesion resection,laparoscopic periadrenal adhesion lysis,and retroperitoneal drainage.Post-surgery,a thyroid ultrasound at our hospital showed no clear malignant tumor changes.Follow-up until March 1,2024,showed no significant abnormalities on ultrasound,and further follow-up will be conducted to monitor long-term prognosis.

关 键 词：异位甲状腺 肾上腺 免疫组织化学 甲状腺转录因子-1 甲状腺球蛋白 

分 类 号：R73[医药卫生—肿瘤]