Thyroid functional autonomy — sclerotherapy and radioactive iodine therapy: case report

U. V. Buyvalenko, M. S. Sheremeta, I. V. Kim, A. A. Trukhin, M. O. Korchagina, N. Yu. Sviridenko
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引用次数: 0

Abstract

Thyroid functional autonomy (TFA) is the most frequent reasons of subclinical or manifest thyrotoxicosis. Diagnosis of the causes of thyrotoxicosis (destruction or increased functional activity of the thyroid tissue in nodular and diffuse thyroid pathology) is a key point in determining the management of patients with this pathology. Scintigraphy is the method of choice in differential diagnosis of the causes of thyrotoxicosis assessing the functional state of the thyroid gland. Thyroid scintigraphy can be performed using 99mTc-pertechnetate. After normalization of the level of thyroid hormones is confirmed, radical treatment is recommended. It could be surgery or radioactive iodine therapy (RAI). In some cases, especially in the elderly women, TFA is combined with thyroid nodules (TN), which can cause pressure symptoms, cosmetic complaints, and thyroid dysfunction. Minimally invasive treatments, such as percutaneous ethanol injection (PEI) sclerotherapy, has been proposed, especially for pressure symptoms and cosmetic complaints, as an alternative to surgery. The presented clinical case will demonstrate the possibility of use sclerotherapy and RAI for the successful treatment of TFA with TN.
甲状腺功能自主-硬化治疗与放射性碘治疗1例
甲状腺功能自主(TFA)是亚临床或显性甲状腺毒症最常见的原因。甲状腺毒症的病因诊断(结节性和弥漫性甲状腺病理中甲状腺组织的破坏或功能活性增加)是确定该病理患者治疗的关键。闪烁显像是鉴别诊断甲状腺毒症病因、评估甲状腺功能状态的首选方法。甲状腺显像可用99mtc - pertecnetate进行。甲状腺激素水平恢复正常后,建议进行根治性治疗。它可能是手术或放射性碘疗法(RAI)。在某些情况下,尤其是老年妇女,TFA合并甲状腺结节(TN),可引起压力症状、美容不适和甲状腺功能障碍。微创治疗,如经皮乙醇注射(PEI)硬化治疗,已被提议作为手术的替代方案,特别是对于压力症状和美容投诉。本临床病例将证明使用硬化疗法和RAI成功治疗TFA与TN的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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