Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIHong , MAFu-wei ,  SHISheng-li

Department of Otorhinolaryngology-Head and Neck, The Fourth Affiliated Hospital, China Medical University, Shenyang 110032, Liaoning Province, China;

Corresponding author：

SHISheng-li, Email: shivictorstone@yeah.net

Keywords：

Thyroiditis; Thyroid tumor; Diagnosis

DOI：

10.7507/1007-9424.20140048

Video：

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Objective To summarize and analyze the clinical characteristics of patients with thyroiditis who would be misdiagnosed with thyroid tumor easily. Method The clinical data of 19 patients with thyroiditis who were misdiag-nosed with thyroid tumor in our department from 2009 to 2012 were analyzed retrospectively. Results All of 19 patients underwent surgery, among which 8 cases were diagnosed with chronic lymphocytic thyroiditis after operation, 10 cases diagnosed with subacute thyroiditis, and 1 case diagnosed with suppurative thyroiditis.Different surgery program such as the biopsy or wedge resection was adopted to the subacute thyroiditis and the chronic lymphocytic thyroiditis respec-tively. Conclusion Sometimes, it is very difficult to distinguish atypical thyroiditis from thyroid tumor so that we must pay attention to the patients who had nontumorous characteristics in order to decrease the misdiagnosis.

Citation： LIHong, MAFu-wei, SHISheng-li. Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(2): 207-211. doi: 10.7507/1007-9424.20140048 Copy

1.	Ieiri T.Review of thyroid disease and recent progress in thyroid research[J].Rinsho Byori, 2001, 49(4):311-318.
2.	田波, 李启富.甲状腺炎的诊断和治疗[J].内科急危重症杂志, 2011, 17(2):67-68, 76.
3.	孙辉, 李文岗, 张德恒.亚急性甲状腺炎药物治疗效果及形态与功能的观察[J].中国实用外科杂志, 2000, 20(2):79-80.
4.	Fatourechi V, Aniszewski JP, Fatourechi GZ, et al.Clinical features and outcome of subacute thyroiditis in an incidence cohort:Olmsted County, Minnesota, study[J].J Clin Endocrinol Metab, 2003, 88(5):2100-2105.
5.	Luotola K, Mantula P, Salmi J, et al.Allele 2 of interleukin-1 receptor antagonist gene increases the risk of thyroid peroxidase antibodies in subacute thyroiditis[J].APMIS, 2001, 109(6):454-460.
6.	崔玉忠, 高立红.亚急性甲状腺炎32例临床诊疗分析[J].中国医学工程, 2013, 21(2):111.
7.	Iitaka M, Momotani N, Ishii J, et al.Incidence of subacute thyroiditis recurrences after a prolonged latency:24-year survey[J].J Clin Endocrinol Metab, 1996, 81(2):466-469.
8.	周瑞山.亚急性甲状腺炎急性期的超声诊断价值[J].山西医药杂志, 2009, 38(7):615.
9.	陈廷财, 陈曼清, 赖少光.亚急性甲状腺炎超声特征的分析和临床意义[J].中国现代医生, 2009, 47(12):135-136.
10.	李娟, 关小宏, 杨彩哲.亚急性甲状腺炎诊治研究进展[J].医学综述, 2011, 17(17):2647-2649.
11.	巴颖, 周焱, 杜建玲, 等.亚急性甲状腺炎误诊手术35例分析[J].中国实用内科杂志, 2007, 27(7):542-543.
12.	郑泽霖, 耿小平, 张德恒.甲状腺·甲状旁腺外科学[M].合肥:安徽科学技术出版社, 2006:160.
13.	燕山, 詹维伟, 周建桥.甲状腺与甲状旁腺超声影像学[M].北京:科学技术文献出版社, 2009:87.
14.	Marwaha RK, Garg MK, Nijhavan VS, et al.Prevalence of chronic lymphocytic thyroiditis in adolescent girls[J].J Assoc Physicians India, 1998, 46(7):606-608.
15.	Solbiati L, Osti V, Cova L, et al.Ultrasound of thyroid, parathyroid glands and neck lymph nodes[J].Eur Radiol, 2001, 11(12):2411-2424.
16.	余向东.血清TGAb、TMAb、TRAb联合检测对桥本病的临床价值[J].现代医药卫生, 2001, 17(12):1019.
17.	郑蓉, 张丹.桥本甲状腺炎的诊断进展[J/CD].中华临床医师杂志:电子版, 2013, 7(4):1687-1689.
18.	杨志芳, 詹维伟.超声对桥本甲状腺炎良恶性结节鉴别价值的探讨[J].诊断学理论与实践, 2012, 11(2):176-181.
19.	闫玉玺, 原韶玲, 杨立, 等.超声弹性成像评分法评价桥本甲状腺炎病程进展的可行性[J/CD].中华医学超声杂志:电子版, 2012, 9(1):66-70.
20.	黄伟钦, 薛恩生, 林礼务, 等.桥本甲状腺炎背景下甲状腺癌的超声表现探讨[J/CD].中华医学超声杂志:电子版, 2009, 6(3):531-538.
21.	Sclafani AP, Valdes M, Cho H.Hashimoto's thyroiditis and carcinoma of the thyroid:optimal management[J].Laryngoscope, 1993, 103(8):845-849.
22.	Kim EY, Kim WG, Kim WB, et al.Coexistence of chronic lymphocytic thyroiditis is associated with lower recurrence rates in patients with papillary thyroid carcinoma[J].Clin Endocrinol (Oxf), 2009, 71(4):581-586.
23.	Del Rio P, Cataldo S, Sommaruga L, et al.The association between papillary carcinoma and chronic lymphocytic thyroiditis:does it modify the prognosis of cancer?[J].Minerva Endocrinol, 2008, 33(1):1-5.
24.	Larson SD, Jackson LN, Riall TS, et al.Increased incidence of well-differentiated thyroid cancer associated with Hashimoto thyroiditis and the role of the PI3k/Akt pathway[J].J Am Coll Surg, 2007, 204(5):764-773.
25.	Arif S, Blanes A, Diaz-Cano SJ.Hashimoto's thyroiditis shares features with early papillary thyroid carcinoma[J].Histopathology, 2002, 41(4):357-362.
26.	高明.甲状腺癌诊治进展[J].肿瘤学杂志, 2003, 9(1):40-44.
27.	Iannuccilli JD, Cronan JJ, Monchik JM.Risk for malignancy of thyroid nodules as assessed by sonographic criteria:the need for biopsy[J].J Ultrasound Med, 2004, 23(11):1455-1464.
28.	潘福顺, 谢晓燕, 李晓曦, 等.甲状腺微小癌超声特征探讨[J].中国实用外科杂志, 2010, 30(10):874-875.
29.	Frates MC, Benson CB, Charboneau JW, et al.Management of thyroid nodules detected at US:Society of Radiologists in Ultrasound consensus conference statement[J].Radiology, 2005, 237(3):794-800.
30.	刘春萍, 李治, 石岚, 等.桥本甲状腺炎的外科诊疗体会[J].外科理论与实践, 2008, 13(2):130-132.
31.	Cipolla C, Sandonato L, Graceffa G, et al.Hashimoto thyroiditis coexistent with papillary thyroid carcinoma[J].Am Surg, 2005, 71(10):874-878.
32.	Varma D, Nigam S, Singhal N, et al.A report of two cases of Hashimoto's thyroiditis and synchronous parathyroid adenoma[J].Indian J Pathol Microbiol, 2006, 49(4):635-636.
33.	Sutradhar SR, Siddiqui NI, Rahman S, et al.Combined occurrence of hyperthyroid Graves' and Hashimoto's thyroiditis[J].Mymensingh Med J, 2006, 15(1):102-104.

1. Ieiri T.Review of thyroid disease and recent progress in thyroid research[J].Rinsho Byori, 2001, 49(4):311-318.
2. 田波, 李启富.甲状腺炎的诊断和治疗[J].内科急危重症杂志, 2011, 17(2):67-68, 76.
3. 孙辉, 李文岗, 张德恒.亚急性甲状腺炎药物治疗效果及形态与功能的观察[J].中国实用外科杂志, 2000, 20(2):79-80.
4. Fatourechi V, Aniszewski JP, Fatourechi GZ, et al.Clinical features and outcome of subacute thyroiditis in an incidence cohort:Olmsted County, Minnesota, study[J].J Clin Endocrinol Metab, 2003, 88(5):2100-2105.
5. Luotola K, Mantula P, Salmi J, et al.Allele 2 of interleukin-1 receptor antagonist gene increases the risk of thyroid peroxidase antibodies in subacute thyroiditis[J].APMIS, 2001, 109(6):454-460.
6. 崔玉忠, 高立红.亚急性甲状腺炎32例临床诊疗分析[J].中国医学工程, 2013, 21(2):111.
7. Iitaka M, Momotani N, Ishii J, et al.Incidence of subacute thyroiditis recurrences after a prolonged latency:24-year survey[J].J Clin Endocrinol Metab, 1996, 81(2):466-469.
8. 周瑞山.亚急性甲状腺炎急性期的超声诊断价值[J].山西医药杂志, 2009, 38(7):615.
9. 陈廷财, 陈曼清, 赖少光.亚急性甲状腺炎超声特征的分析和临床意义[J].中国现代医生, 2009, 47(12):135-136.
10. 李娟, 关小宏, 杨彩哲.亚急性甲状腺炎诊治研究进展[J].医学综述, 2011, 17(17):2647-2649.
11. 巴颖, 周焱, 杜建玲, 等.亚急性甲状腺炎误诊手术35例分析[J].中国实用内科杂志, 2007, 27(7):542-543.
12. 郑泽霖, 耿小平, 张德恒.甲状腺·甲状旁腺外科学[M].合肥:安徽科学技术出版社, 2006:160.
13. 燕山, 詹维伟, 周建桥.甲状腺与甲状旁腺超声影像学[M].北京:科学技术文献出版社, 2009:87.
14. Marwaha RK, Garg MK, Nijhavan VS, et al.Prevalence of chronic lymphocytic thyroiditis in adolescent girls[J].J Assoc Physicians India, 1998, 46(7):606-608.
15. Solbiati L, Osti V, Cova L, et al.Ultrasound of thyroid, parathyroid glands and neck lymph nodes[J].Eur Radiol, 2001, 11(12):2411-2424.
16. 余向东.血清TGAb、TMAb、TRAb联合检测对桥本病的临床价值[J].现代医药卫生, 2001, 17(12):1019.
17. 郑蓉, 张丹.桥本甲状腺炎的诊断进展[J/CD].中华临床医师杂志:电子版, 2013, 7(4):1687-1689.
18. 杨志芳, 詹维伟.超声对桥本甲状腺炎良恶性结节鉴别价值的探讨[J].诊断学理论与实践, 2012, 11(2):176-181.
19. 闫玉玺, 原韶玲, 杨立, 等.超声弹性成像评分法评价桥本甲状腺炎病程进展的可行性[J/CD].中华医学超声杂志:电子版, 2012, 9(1):66-70.
20. 黄伟钦, 薛恩生, 林礼务, 等.桥本甲状腺炎背景下甲状腺癌的超声表现探讨[J/CD].中华医学超声杂志:电子版, 2009, 6(3):531-538.
21. Sclafani AP, Valdes M, Cho H.Hashimoto's thyroiditis and carcinoma of the thyroid:optimal management[J].Laryngoscope, 1993, 103(8):845-849.
22. Kim EY, Kim WG, Kim WB, et al.Coexistence of chronic lymphocytic thyroiditis is associated with lower recurrence rates in patients with papillary thyroid carcinoma[J].Clin Endocrinol (Oxf), 2009, 71(4):581-586.
23. Del Rio P, Cataldo S, Sommaruga L, et al.The association between papillary carcinoma and chronic lymphocytic thyroiditis:does it modify the prognosis of cancer?[J].Minerva Endocrinol, 2008, 33(1):1-5.
24. Larson SD, Jackson LN, Riall TS, et al.Increased incidence of well-differentiated thyroid cancer associated with Hashimoto thyroiditis and the role of the PI3k/Akt pathway[J].J Am Coll Surg, 2007, 204(5):764-773.
25. Arif S, Blanes A, Diaz-Cano SJ.Hashimoto's thyroiditis shares features with early papillary thyroid carcinoma[J].Histopathology, 2002, 41(4):357-362.
26. 高明.甲状腺癌诊治进展[J].肿瘤学杂志, 2003, 9(1):40-44.
27. Iannuccilli JD, Cronan JJ, Monchik JM.Risk for malignancy of thyroid nodules as assessed by sonographic criteria:the need for biopsy[J].J Ultrasound Med, 2004, 23(11):1455-1464.
28. 潘福顺, 谢晓燕, 李晓曦, 等.甲状腺微小癌超声特征探讨[J].中国实用外科杂志, 2010, 30(10):874-875.
29. Frates MC, Benson CB, Charboneau JW, et al.Management of thyroid nodules detected at US:Society of Radiologists in Ultrasound consensus conference statement[J].Radiology, 2005, 237(3):794-800.
30. 刘春萍, 李治, 石岚, 等.桥本甲状腺炎的外科诊疗体会[J].外科理论与实践, 2008, 13(2):130-132.
31. Cipolla C, Sandonato L, Graceffa G, et al.Hashimoto thyroiditis coexistent with papillary thyroid carcinoma[J].Am Surg, 2005, 71(10):874-878.
32. Varma D, Nigam S, Singhal N, et al.A report of two cases of Hashimoto's thyroiditis and synchronous parathyroid adenoma[J].Indian J Pathol Microbiol, 2006, 49(4):635-636.
33. Sutradhar SR, Siddiqui NI, Rahman S, et al.Combined occurrence of hyperthyroid Graves' and Hashimoto's thyroiditis[J].Mymensingh Med J, 2006, 15(1):102-104.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor

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