Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIHong , MAFu-wei ,  SHISheng-li

Department of Otorhinolaryngology-Head and Neck, The Fourth Affiliated Hospital, China Medical University, Shenyang 110032, Liaoning Province, China;

Corresponding?author：

SHISheng-li, Email: shivictorstone@yeah.net

Keywords：

Thyroiditis; Thyroid tumor; Diagnosis

DOI：

10.7507/1007-9424.20140048

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize and analyze the clinical characteristics of patients with thyroiditis who would be misdiagnosed with thyroid tumor easily. Method The clinical data of 19 patients with thyroiditis who were misdiag-nosed with thyroid tumor in our department from 2009 to 2012 were analyzed retrospectively. Results All of 19 patients underwent surgery, among which 8 cases were diagnosed with chronic lymphocytic thyroiditis after operation, 10 cases diagnosed with subacute thyroiditis, and 1 case diagnosed with suppurative thyroiditis.Different surgery program such as the biopsy or wedge resection was adopted to the subacute thyroiditis and the chronic lymphocytic thyroiditis respec-tively. Conclusion Sometimes, it is very difficult to distinguish atypical thyroiditis from thyroid tumor so that we must pay attention to the patients who had nontumorous characteristics in order to decrease the misdiagnosis.

Citation： LIHong, MAFu-wei, SHISheng-li. Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(2): 207-211. doi: 10.7507/1007-9424.20140048 Copy

1.	Ieiri T.Review of thyroid disease and recent progress in thyroid research[J].Rinsho Byori, 2001, 49(4):311-318.
2.	田波, 李啟富.甲狀腺炎的診斷和治療[J].內科急危重癥雜志, 2011, 17(2):67-68, 76.
3.	孫輝, 李文崗, 張德恒.亞急性甲狀腺炎藥物治療效果及形態與功能的觀察[J].中國實用外科雜志, 2000, 20(2):79-80.
4.	Fatourechi V, Aniszewski JP, Fatourechi GZ, et al.Clinical features and outcome of subacute thyroiditis in an incidence cohort:Olmsted County, Minnesota, study[J].J Clin Endocrinol Metab, 2003, 88(5):2100-2105.
5.	Luotola K, Mantula P, Salmi J, et al.Allele 2 of interleukin-1 receptor antagonist gene increases the risk of thyroid peroxidase antibodies in subacute thyroiditis[J].APMIS, 2001, 109(6):454-460.
6.	崔玉忠, 高立紅.亞急性甲狀腺炎32例臨床診療分析[J].中國醫學工程, 2013, 21(2):111.
7.	Iitaka M, Momotani N, Ishii J, et al.Incidence of subacute thyroiditis recurrences after a prolonged latency:24-year survey[J].J Clin Endocrinol Metab, 1996, 81(2):466-469.
8.	周瑞山.亞急性甲狀腺炎急性期的超聲診斷價值[J].山西醫藥雜志, 2009, 38(7):615.
9.	陳廷財, 陳曼清, 賴少光.亞急性甲狀腺炎超聲特征的分析和臨床意義[J].中國現代醫生, 2009, 47(12):135-136.
10.	李娟, 關小宏, 楊彩哲.亞急性甲狀腺炎診治研究進展[J].醫學綜述, 2011, 17(17):2647-2649.
11.	巴穎, 周焱, 杜建玲, 等.亞急性甲狀腺炎誤診手術35例分析[J].中國實用內科雜志, 2007, 27(7):542-543.
12.	鄭澤霖, 耿小平, 張德恒.甲狀腺·甲狀旁腺外科學[M].合肥:安徽科學技術出版社, 2006:160.
13.	燕山, 詹維偉, 周建橋.甲狀腺與甲狀旁腺超聲影像學[M].北京:科學技術文獻出版社, 2009:87.
14.	Marwaha RK, Garg MK, Nijhavan VS, et al.Prevalence of chronic lymphocytic thyroiditis in adolescent girls[J].J Assoc Physicians India, 1998, 46(7):606-608.
15.	Solbiati L, Osti V, Cova L, et al.Ultrasound of thyroid, parathyroid glands and neck lymph nodes[J].Eur Radiol, 2001, 11(12):2411-2424.
16.	余向東.血清TGAb、TMAb、TRAb聯合檢測對橋本病的臨床價值[J].現代醫藥衛生, 2001, 17(12):1019.
17.	鄭蓉, 張丹.橋本甲狀腺炎的診斷進展[J/CD].中華臨床醫師雜志:電子版, 2013, 7(4):1687-1689.
18.	楊志芳, 詹維偉.超聲對橋本甲狀腺炎良惡性結節鑒別價值的探討[J].診斷學理論與實踐, 2012, 11(2):176-181.
19.	閆玉璽, 原韶玲, 楊立, 等.超聲彈性成像評分法評價橋本甲狀腺炎病程進展的可行性[J/CD].中華醫學超聲雜志:電子版, 2012, 9(1):66-70.
20.	黃偉欽, 薛恩生, 林禮務, 等.橋本甲狀腺炎背景下甲狀腺癌的超聲表現探討[J/CD].中華醫學超聲雜志:電子版, 2009, 6(3):531-538.
21.	Sclafani AP, Valdes M, Cho H.Hashimoto's thyroiditis and carcinoma of the thyroid:optimal management[J].Laryngoscope, 1993, 103(8):845-849.
22.	Kim EY, Kim WG, Kim WB, et al.Coexistence of chronic lymphocytic thyroiditis is associated with lower recurrence rates in patients with papillary thyroid carcinoma[J].Clin Endocrinol (Oxf), 2009, 71(4):581-586.
23.	Del Rio P, Cataldo S, Sommaruga L, et al.The association between papillary carcinoma and chronic lymphocytic thyroiditis:does it modify the prognosis of cancer?[J].Minerva Endocrinol, 2008, 33(1):1-5.
24.	Larson SD, Jackson LN, Riall TS, et al.Increased incidence of well-differentiated thyroid cancer associated with Hashimoto thyroiditis and the role of the PI3k/Akt pathway[J].J Am Coll Surg, 2007, 204(5):764-773.
25.	Arif S, Blanes A, Diaz-Cano SJ.Hashimoto's thyroiditis shares features with early papillary thyroid carcinoma[J].Histopathology, 2002, 41(4):357-362.
26.	高明.甲狀腺癌診治進展[J].腫瘤學雜志, 2003, 9(1):40-44.
27.	Iannuccilli JD, Cronan JJ, Monchik JM.Risk for malignancy of thyroid nodules as assessed by sonographic criteria:the need for biopsy[J].J Ultrasound Med, 2004, 23(11):1455-1464.
28.	潘福順, 謝曉燕, 李曉曦, 等.甲狀腺微小癌超聲特征探討[J].中國實用外科雜志, 2010, 30(10):874-875.
29.	Frates MC, Benson CB, Charboneau JW, et al.Management of thyroid nodules detected at US:Society of Radiologists in Ultrasound consensus conference statement[J].Radiology, 2005, 237(3):794-800.
30.	劉春萍, 李治, 石嵐, 等.橋本甲狀腺炎的外科診療體會[J].外科理論與實踐, 2008, 13(2):130-132.
31.	Cipolla C, Sandonato L, Graceffa G, et al.Hashimoto thyroiditis coexistent with papillary thyroid carcinoma[J].Am Surg, 2005, 71(10):874-878.
32.	Varma D, Nigam S, Singhal N, et al.A report of two cases of Hashimoto's thyroiditis and synchronous parathyroid adenoma[J].Indian J Pathol Microbiol, 2006, 49(4):635-636.
33.	Sutradhar SR, Siddiqui NI, Rahman S, et al.Combined occurrence of hyperthyroid Graves' and Hashimoto's thyroiditis[J].Mymensingh Med J, 2006, 15(1):102-104.

1. Ieiri T.Review of thyroid disease and recent progress in thyroid research[J].Rinsho Byori, 2001, 49(4):311-318.
2. 田波, 李啟富.甲狀腺炎的診斷和治療[J].內科急危重癥雜志, 2011, 17(2):67-68, 76.
3. 孫輝, 李文崗, 張德恒.亞急性甲狀腺炎藥物治療效果及形態與功能的觀察[J].中國實用外科雜志, 2000, 20(2):79-80.
4. Fatourechi V, Aniszewski JP, Fatourechi GZ, et al.Clinical features and outcome of subacute thyroiditis in an incidence cohort:Olmsted County, Minnesota, study[J].J Clin Endocrinol Metab, 2003, 88(5):2100-2105.
5. Luotola K, Mantula P, Salmi J, et al.Allele 2 of interleukin-1 receptor antagonist gene increases the risk of thyroid peroxidase antibodies in subacute thyroiditis[J].APMIS, 2001, 109(6):454-460.
6. 崔玉忠, 高立紅.亞急性甲狀腺炎32例臨床診療分析[J].中國醫學工程, 2013, 21(2):111.
7. Iitaka M, Momotani N, Ishii J, et al.Incidence of subacute thyroiditis recurrences after a prolonged latency:24-year survey[J].J Clin Endocrinol Metab, 1996, 81(2):466-469.
8. 周瑞山.亞急性甲狀腺炎急性期的超聲診斷價值[J].山西醫藥雜志, 2009, 38(7):615.
9. 陳廷財, 陳曼清, 賴少光.亞急性甲狀腺炎超聲特征的分析和臨床意義[J].中國現代醫生, 2009, 47(12):135-136.
10. 李娟, 關小宏, 楊彩哲.亞急性甲狀腺炎診治研究進展[J].醫學綜述, 2011, 17(17):2647-2649.
11. 巴穎, 周焱, 杜建玲, 等.亞急性甲狀腺炎誤診手術35例分析[J].中國實用內科雜志, 2007, 27(7):542-543.
12. 鄭澤霖, 耿小平, 張德恒.甲狀腺·甲狀旁腺外科學[M].合肥:安徽科學技術出版社, 2006:160.
13. 燕山, 詹維偉, 周建橋.甲狀腺與甲狀旁腺超聲影像學[M].北京:科學技術文獻出版社, 2009:87.
14. Marwaha RK, Garg MK, Nijhavan VS, et al.Prevalence of chronic lymphocytic thyroiditis in adolescent girls[J].J Assoc Physicians India, 1998, 46(7):606-608.
15. Solbiati L, Osti V, Cova L, et al.Ultrasound of thyroid, parathyroid glands and neck lymph nodes[J].Eur Radiol, 2001, 11(12):2411-2424.
16. 余向東.血清TGAb、TMAb、TRAb聯合檢測對橋本病的臨床價值[J].現代醫藥衛生, 2001, 17(12):1019.
17. 鄭蓉, 張丹.橋本甲狀腺炎的診斷進展[J/CD].中華臨床醫師雜志:電子版, 2013, 7(4):1687-1689.
18. 楊志芳, 詹維偉.超聲對橋本甲狀腺炎良惡性結節鑒別價值的探討[J].診斷學理論與實踐, 2012, 11(2):176-181.
19. 閆玉璽, 原韶玲, 楊立, 等.超聲彈性成像評分法評價橋本甲狀腺炎病程進展的可行性[J/CD].中華醫學超聲雜志:電子版, 2012, 9(1):66-70.
20. 黃偉欽, 薛恩生, 林禮務, 等.橋本甲狀腺炎背景下甲狀腺癌的超聲表現探討[J/CD].中華醫學超聲雜志:電子版, 2009, 6(3):531-538.
21. Sclafani AP, Valdes M, Cho H.Hashimoto's thyroiditis and carcinoma of the thyroid:optimal management[J].Laryngoscope, 1993, 103(8):845-849.
22. Kim EY, Kim WG, Kim WB, et al.Coexistence of chronic lymphocytic thyroiditis is associated with lower recurrence rates in patients with papillary thyroid carcinoma[J].Clin Endocrinol (Oxf), 2009, 71(4):581-586.
23. Del Rio P, Cataldo S, Sommaruga L, et al.The association between papillary carcinoma and chronic lymphocytic thyroiditis:does it modify the prognosis of cancer?[J].Minerva Endocrinol, 2008, 33(1):1-5.
24. Larson SD, Jackson LN, Riall TS, et al.Increased incidence of well-differentiated thyroid cancer associated with Hashimoto thyroiditis and the role of the PI3k/Akt pathway[J].J Am Coll Surg, 2007, 204(5):764-773.
25. Arif S, Blanes A, Diaz-Cano SJ.Hashimoto's thyroiditis shares features with early papillary thyroid carcinoma[J].Histopathology, 2002, 41(4):357-362.
26. 高明.甲狀腺癌診治進展[J].腫瘤學雜志, 2003, 9(1):40-44.
27. Iannuccilli JD, Cronan JJ, Monchik JM.Risk for malignancy of thyroid nodules as assessed by sonographic criteria:the need for biopsy[J].J Ultrasound Med, 2004, 23(11):1455-1464.
28. 潘福順, 謝曉燕, 李曉曦, 等.甲狀腺微小癌超聲特征探討[J].中國實用外科雜志, 2010, 30(10):874-875.
29. Frates MC, Benson CB, Charboneau JW, et al.Management of thyroid nodules detected at US:Society of Radiologists in Ultrasound consensus conference statement[J].Radiology, 2005, 237(3):794-800.
30. 劉春萍, 李治, 石嵐, 等.橋本甲狀腺炎的外科診療體會[J].外科理論與實踐, 2008, 13(2):130-132.
31. Cipolla C, Sandonato L, Graceffa G, et al.Hashimoto thyroiditis coexistent with papillary thyroid carcinoma[J].Am Surg, 2005, 71(10):874-878.
32. Varma D, Nigam S, Singhal N, et al.A report of two cases of Hashimoto's thyroiditis and synchronous parathyroid adenoma[J].Indian J Pathol Microbiol, 2006, 49(4):635-636.
33. Sutradhar SR, Siddiqui NI, Rahman S, et al.Combined occurrence of hyperthyroid Graves' and Hashimoto's thyroiditis[J].Mymensingh Med J, 2006, 15(1):102-104.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content