摘要
目的总结1例甲状腺结节伴甲状腺功能异常患者的临床及生化特征。方法分析我院收治的1例甲状腺结节伴甲状腺功能异常患者的诊治经过。结果本例48岁男性患者甲状腺结节术后乏力1年半,经甲状腺功能、促性腺激素测定、垂体MRI等检查最终诊断为垂体催乳素瘤、中枢性甲减。结论超声在甲状腺结节的良恶性评估上有局限性,细针穿刺检查(fine needle aspiration,FNA)可进一步帮助鉴别。促甲状腺素(thyroid stimulating hor-mone,TSH)与游离型三碘甲状腺原氨酸(FT3)、游离型甲状腺素(FT4)水平不匹配应高度怀疑中枢性甲减。
Objective To summarize the clinical and biochemical characteristics of thyroid nodules with abnormal thyroidism. Methods The diagnosis and treatment of 1 case of thyroid nodules with abnormal thyroidism in our hospital was retrospectively analyzed. Results This case of male, at the age of 48, one and a half years after thyroidectomy, was the finally diagnosed as pituitary prolactin tumor and central hypothyroidism after the examination of thyroid function, gonadal hormone and pituitary MRI. Conclusion Ultrasound has its limitations in the assessment of benign and malignant thyroid nodules. Fine needle aspiration （FNA） can be further identified. The mismatch of thyroid stimulating hormone （TSH） with FT3 and FT4 should be highly suspected of central hypothyroidism.
作者
王兮
董惠洁
Wang Xi;Dong Huijie.(Department of Endocrinology, Shanxi Integrated Traditional Chinese and Western Medicine Hospital, Taiyuan 030001, China)
出处
《北京医学》
CAS
2018年第2期158-160,共3页
Beijing Medical Journal
关键词
甲状腺结节
细针穿刺
中枢性甲减
thyroid nodule
fine needle aspiration （FNA）
central hypothyroidism
