Sonographic findings of thyroid tuberculosis: Report of a case and review of literature

doi:10.16150/j.1671-2870.2020.03.012

Abstract

Abstract:

Objective: To investigate the sonographic appearance of thyroid tuberculosis on conventional ultrasound and contrast-enhanced ultrasound (CEUS), so as to improve the understanding and diagnosis of the disease. Methods: The features on conventional ultrasound and CEUS of one case with thyroid tuberculosis were analyzed and reviewed with relevant literature and pathological findings. Results: On conventional ultrasound,it appeared as two inhomogeneously hypoechoic, irregular and ill-defined nodules without calcifications and no changes in the posterior echo was found. CEUS showed heterogeneous and low enhancement with slow wash-in and fast wash-out. The nodules were finally confirmed as thyroid tuberculosis by cytological examination. Conclusions: The sonographic appearance of thyroid tuberculosis is not specific, similar to the features of papillary thyroid carcinoma. The final diagnosis depends on pathological examination.

Key words: Thyroid, Tuberculosis, Ultrasound

CLC Number:

R521.9

FEI Yuanxin, KUANG Lijun, LU Caifeng, LI Weiwei, ZHOU Wei, ZHOU Qinghua. Sonographic findings of thyroid tuberculosis: Report of a case and review of literature[J]. Journal of Diagnostics Concepts & Practice, 2020, 19(03): 269-273.

Figures/Tables 4

References 39

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作者及年份	例数 (n)	性别	年龄(岁)	临床表现	灰阶超声特征		病理		其他结核部位
作者及年份	例数 (n)	性别	年龄(岁)	临床表现	回声	钙化(n)	穿刺阳性	手术阳性	其他结核部位
Borggreve等^[7],2005年	1	男	21	发热、疼痛	混合	1	1	0	肺
Al-Mulhim等^[8],2002年	2	男	44	无	低	0	0	1	无
		男	22	肿块	混合	0	0	1	无
Attifi等^[9],2017年	1	女	68	肿块	低	0	1	0	无
Ponce Villar等^[10],2015年	1	女	59	疼痛	混合	1	1	0	无
Kohen等^[11],2001年	1	女	47	肿块	低	0	0	1	无
Cuesta Hernández等^[12],2013年	1	女	71	肿块	低	0	0	1	无
Kabiri等^[13],2007年	1	女	70	肿块	低	0	0	1	无
Tabacu等^[14],2000年	1	男	38	肿块	低	0	0	1	无
Girgin等^[15],2007年	1	女	41	肿块	低	0	0	1	无
Akbulut等^[16],2010年	1	女	54	疼痛	混合	1	0	1	无
Goyalet等^[17],2015年	1	女	16	发热、疼痛	混合	1	1	0	无
Ozekinci等^[18],2009年	3	女	平均41.7	肿块(2例)	低(1例),混合(2例)	1	0	1	无
Ortize Flores等^[19],2017年	1	女	63	疼痛	低	0	1	0	无
Meng等^[20],2014年	1	女	56	肿块	低	0	1	1	无
Khazaeni等^[21],2012年	1	男	49	无	低	0	0	1	无
Sanehi等^[22],2007年	1	女	33	发热、疼痛	混合	1	1	0	无
da Silva等^[23],2009年	1	女	62	疼痛	低	0	0	1	无
Levitt等^[24],2017年	1	女	63	发热、疼痛	混合	1	1	0	无
Terzidis等^[25],2007年	1	男	49	发热、疼痛	低	1	0	1	肺
Lioteé等^[26],1987年	1	男	25	疼痛	低	1	0	1	纵隔
Bodh等^[27],2014年	1	女	11	疼痛	低	0	1	0	无
Luiz等^[28],2013年	1	男	45	疼痛	低	0	1	0	无
Majid等^[29],2011年	1	女	49	无	低	0	0	1	无
El Malki等^[30],2006年	8	女(6例) 男(2例)	平均52.7	肿块（7例）	低（5例）混合（3例）	1	1	7	无
Chandanwale等^[31],2014年	1	男	33	疼痛	混合	0	1	0	纵隔
Sharma等^[32],2011年	1	男	6	疼痛	混合	1	1	0	左上眼睑