不典型甲状腺囊肿。

M González Pena, A Samitier Pastor, M D Martínez Novoa, E Masgoret Paulau, J L Merán Gil, J Risco Arenas
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引用次数: 0

摘要

未标记:甲状腺囊肿通常表现为宫颈前区独特的肿瘤,更常见于生命的第二个十年,对两性的影响相同。它们通常随着排便运动而移动,并随着感染过程而增加其体积。在极少数情况下,甲状腺囊肿可表现为发音困难、吞咽困难或呼吸困难等症状,提示其喉部伸展。方法:我们提出了一个病例的患者影响的语音障碍的长期发展,相关的宫颈肿块的存在。CT示宫颈囊肿,扩张至左侧会厌前间隙和副会厌间隙,压迫左侧甲状腺翼。虽然临床表现为喉部肿瘤,但CT有助于实现甲状腺囊肿的诊断。手术中,采用Sistrunk技术成功切除甲状腺囊肿,患者恢复了声音。结论:我们提出了这个病例,并实现了对甲状腺囊肿的文献修订,具有不典型的症状。我们还讨论了CT在这些类型的过程中的诊断过程中的作用。
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[Atypical thyrogloss cyst].

Unlabelled: The thyrogloss cysts present themselves usually as unique tumorations in the anterior cervical zone, more frequently in the second decade of life and affecting equally the two sexs. They move typically with the movements of deglution and can increase its volume with infections processes. In seldom occasions, the thyrogloss cysts can present symptoms as dysphonia, dysphagia or dyspnea facts that can suggest its laryngeal extension.

Methods: We present a case of a patient affected by dysphonia of long evolution, associated to the presence of a cervical mass. The CT showed a cervical cyst with extension to the left preepiglottic and paraglottic space with compression of the left thyroid wing. Although the clinic impression was a laryngeal neoplasia, the CT helped to realize the diagnosis ofthyrogloss cyst. During the surgery the thyrogloss cyst was removed with success, with the technique of Sistrunk and the patient recovered the voice.

Conclusions: We present this case and realize a bibliographic revision on thyrogloss cysts, with atypical symptoms. We discuss also the role of CT in the diagnostic process in these types of processes.

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[Benign tumors of the parotid gland]. [Supraglottic carcinoma]. [Otorhinolaringologyc approach of the chronic cough. Clinical case]. [Recurrent intrathyroid abscess in children. Clinical case and review of the literature]. [Spontaneous cervical and pharyngolaryngeal hematoma after coughing attacks].
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