一名患有甲状腺丛状分裂瘤的32岁男子:病例报告。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Journal of Yeungnam medical science Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI:10.12701/jyms.2024.00556
Il Rae Park, Min Chong Kim, Seung Min Chung, Si Youn Song
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引用次数: 0

摘要

丛状分裂瘤是一种罕见的亚群,占所有分裂瘤的5%。然而,它们出现在甲状腺中却异常罕见。一名 32 岁的男性偶然发现了一个无症状的甲状腺肿块。影像学检查发现,右侧甲状腺叶上有一个约5厘米的异型实性肿块,一直延伸到上纵隔,并直接侵犯气管上段。由于怀疑是甲状腺恶性肿瘤,患者接受了右侧甲状腺切除术。组织学检查证实,患者患的是S100阳性纺锤形细胞的丛状分裂瘤。目前,患者正在接受门诊随访,无并发症报告。据我们所知,这是英文文献中记录的第一例甲状腺丛状分裂瘤病例。该病例凸显了甲状腺肿块临床表现的多样性和不可预测性,强调了采用多学科方法诊断和治疗甲状腺神经丛状分裂瘤等罕见肿瘤的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 32-year-old man with plexiform schwannoma of the thyroid gland: a case report.

Plexiform schwannomas representing a rare subset, comprise 5% of all schwannomas. However, their occurrence in the thyroid gland is exceptionally rare. A 32-year-old male presented with an incidentally discovered, asymptomatic thyroid mass. Imaging revealed an approximately 5 cm heterogeneous solid mass on the right thyroid lobe extending to the upper mediastinum and directly invading the upper trachea. Under the suspicion of thyroid malignancy, the patient underwent right thyroidectomy. Histological examination confirmed a plexiform schwannoma with S100-positive spindle cells. Currently, the patient is undergoing outpatient follow-up, with no reported complications. To our knowledge, this is the first documented case of plexiform schwannoma of the thyroid gland within the English literature. This case highlights the diverse and unpredictable clinical manifestations of thyroid masses, emphasizing the importance of a multidisciplinary approach for diagnosing and managing rare entities, such as thyroid gland schwannomas.

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