[甲状腺半基因:病例报告]。

Harefuah Pub Date : 2024-04-01
Evgenia Avizov Khodak
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引用次数: 0

摘要

简介甲状腺半发生是一种罕见的先天性畸形,其特点是没有一个甲状腺叶和峡部。本病例报告了一名有早产史的 4 岁女孩。在一次颈部常规超声波检查中,偶然发现了甲状腺半切迹,同时发现了正常的淋巴结。右侧甲状腺叶缺失,左侧甲状腺叶保留。病例既往未接受过颈部手术,也未接受过甲状腺手术:本文概述了甲状腺半发生性,包括其发病率、主要累及左叶、可能的遗传和环境因素,以及与甲状腺和甲状腺外病变的关系。超声波和闪烁扫描等成像方法在诊断甲状腺半发生性疾病和发现其他甲状腺异常方面起着至关重要的作用。建议进行长期随访和仔细监测,以评估甲状腺功能并识别潜在的结构异常。甲状腺半发生的最佳治疗方法仍存在争议,需要进一步研究以确定这种罕见疾病的临床意义和长期疗效。
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[THYROID HEMIAGENESIS: A CASE REPORT].

Introduction: Thyroid hemiagenesis is a rare congenital anomaly characterized by the absence of one thyroid lobe and the isthmus. This case report presents a 4-year-old girl with a history of prematurity. Incidentally, during a routine ultrasound evaluation of the neck, thyroid hemiagenesis was detected along with the presence of normal lymph nodes. The right thyroid lobe was absent, while the left thyroid lobe was preserved. No previous neck or thyroid surgeries were reported.

Discussion: This provides an overview of thyroid hemiagenesis, including its prevalence, predominant involvement of the left lobe, possible genetic and environmental factors, and associations with thyroid and extrathyroidal pathologies. Imaging modalities, such as ultrasound and scintigraphy, play a crucial role in diagnosing thyroid hemiagenesis and identifying additional thyroid gland abnormalities. Long-term follow-up and careful monitoring are recommended to assess thyroid function and identify potential structural abnormalities. The optimal therapeutic approach for thyroid hemiagenesis remains controversial, and further studies are needed to determine the clinical significance and long-term outcomes of this rare condition.

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