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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Gray-scale and color Doppler sonographic findings in a case of subacute granulomatous thyroiditis mimicking thyroid carcinoma.
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Gray-scale and color Doppler sonographic findings in a case of subacute granulomatous thyroiditis mimicking thyroid carcinoma.

机译：亚急性肉芽肿性甲状腺炎模仿甲状腺癌的病例的灰度和彩色多普勒超声检查结果。

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摘要

Subacute granulomatous thyroiditis is a common disease of unknown cause and is usually self-limiting, with complete resolution of symptoms occurring spontaneously or after steroidal treatment. We report a case of subacute granulomatous thyroiditis in a 62-year-old woman whose clinical presentation was consistent with thyroid carcinoma. Gray-scale and color Doppler sonography revealed marked enlargement of the left lobe of the thyroid and markedly hypoechoic, ill-defined focal areas in both lobes. No flow was noted on color Doppler sonographic examination. Fine-needle aspiration of the thyroid was performed, and histopathologic examination of the specimen confirmed the diagnosis of subacute granulomatous thyroiditis. The patient received prednisolone therapy (20 mg/day) for 2 weeks and recovered well. This case report is the first to describe the gray-scale and color Doppler sonographic appearances of subacute granulomatous thyroiditis. This disease should be included in the differential diagnosis of patients with clinical signs and symptoms of thyroid carcinoma. Histopathologic examination is necessary to confirm the diagnosis.
机译：亚急性肉芽肿性甲状腺炎是一种原因不明的常见疾病，通常是自限性的，可完全缓解自发性或类固醇治疗后出现的症状。我们报告了一名62岁妇女的亚急性肉芽肿性甲状腺炎病例，其临床表现与甲状腺癌一致。灰度和彩色多普勒超声检查显示，甲状腺左叶明显增大，两个叶明显有低回声，不清晰的局灶性区域。彩色多普勒超声检查未发现血流。进行甲状腺细针穿刺术，对标本进行组织病理学检查证实为亚急性肉芽肿性甲状腺炎的诊断。患者接受泼尼松龙治疗（20 mg /天），持续2周，恢复良好。该病例报告首次描述了亚急性肉芽肿性甲状腺炎的灰度和彩色多普勒超声表现。该疾病应包括在甲状腺癌临床体征和症状的鉴别诊断中。为了确认诊断，必须进行组织病理学检查。

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