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題名 | 巨大舌甲狀腺--病例報告=Huge Lingual Thyroid--Case Report |
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作者 | 高全祥; 林曜祥; 王興萬; Kao, Chuan-hsiang; Lin, Yao-hsiang; Wang, Hsing-won; |
期刊 | 中華民國耳鼻喉科醫學雜誌 |
出版日期 | 19990700、19990800 |
卷期 | 34:4 民88.07-08 |
頁次 | 頁352-356 |
分類號 | 416.894 |
語文 | chi |
關鍵詞 | 異位性; 舌甲狀腺; 甲狀腺腫; Ectopic; Lingual thyroid; Goiter; |
中文摘要 | 舌甲狀腺為胚胎發育上罕見之異常,常位於舌根中線,介於舌上輪狀乳突及會厭 軟骨間。 本院於 1997 年 4 月間經歷一 75 歲女性心臟衰竭患者,主訴全身無力吞嚥、呼 吸困難住入內科病房,經本科會診發現舌根處有一巨大橢圓形腫塊,患者有舌甲狀腺之病史 ,經各項檢查初步診斷為巨大舌甲狀腺。因併發嚴重上呼吸道阻塞現象,先接受緊急氣管切 開術後,待其病況穩定,再經由舌骨上咽切開術,完整切除一大小約為 6x4x3 cm 之腫瘤, 病理學檢查證實為舌甲狀腺合併甲狀腺腫。病患於 21 年前因咳血已診斷為舌甲狀腺患者, 接受放射線碘 -131 治療後即疏於定期追蹤及治療, 可能經過長期甲狀腺刺激激素 (TSH) 增加影響,使舌甲狀腺過度增生肥大並形成甲狀腺腫,併發嚴重上呼吸道阻塞,幾乎危生命 。本病例為罕見之巨大舌甲狀腺,併發嚴重上呼吸道阻基症狀,特報告本阢治療及手術之經 驗。 |
英文摘要 | Lingual thyroid is a rare developmental anomaly ddefined as the presence of thyroid tissue in the midline of the tongue base between the circumvallate papillae and the epiglottis. A 72-year-old woman presented with progressive dysphagia and occasional dyspnea of 3 months duration. She underwent emergent tracheostomy on account of acute upper airway obstruction. Physical examination showed an ovoid tumor of the tongue base. A series of examinations were performed, including thyroid function testing, Tc-99m thyroid scanning, computed tomography and magnetic resonance imaging. Lingual thyroid was diagnosedd. She then underwent a suprahyoid pharyngotomy approach to excise the tumor. The operation went smoothly and the postoperative condition of the patient was uncomplicated. She was discharged from the hospital and followed in the clinics with no problem of upper airway compromise. In this report we discuss the incidence of lingual thyroid, the cause of goiter formation, and the comnplications related to this rare condition. We suggest that patients with lingual thyroid have regular follow-up to prevent life-threatening airway compromise. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。