Systemic Sarcoidosis with Thyroid Involvement
| Autor: | Takeshi Inazawa, Nozomi Murooka, Yoshihiro Ogawa, Xin Wang, Noriaki Ohkiba, Koshi Hashimoto, Hideyuki Okuma, Norikazu Akizuki |
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| Rok vydání: | 2017 |
| Předmět: |
Pathology
medicine.medical_specialty Sarcoidosis Thyroid Gland Lymphadenopathy Case Report Scintigraphy thyroid needle biopsy 03 medical and health sciences 0302 clinical medicine Biopsy Internal Medicine medicine Humans 030212 general & internal medicine Radionuclide Imaging Lung Pathological Aged Ultrasonography Granuloma medicine.diagnostic_test business.industry thyroid sarcoidosis Biopsy Needle Thyroid Mediastinum General Medicine medicine.disease Thyroid Diseases Radiography medicine.anatomical_structure 030228 respiratory system Female Tomography X-Ray Computed business Epithelioid cell |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 66-year-old woman, who was diagnosed with iritis, visited our hospital due to general malaise. A blood analysis revealed hypercalcemia. Computed tomography revealed mediastinal and hilar lymph node hyperplasia. Moreover, 67Gallium scintigraphy demonstrated strong accumulation in the lesions, suggesting sarcoidosis. A core needle biopsy (CNB) of the hypoechoic areas of the thyroid was performed because the patient refused to undergo a bronchoscopic examination. The scattering of slightly acidophilic epithelioid cell granulomas was observed in the pathological examination of the biopsy specimen. Based on this finding, the patient was diagnosed with sarcoidosis. Although sarcoidosis rarely involves the thyroid gland, in the present case, thyroid CNB was an alternative diagnostic method that allowed a pathological diagnosis to be obtained. |
| Databáze: | OpenAIRE |
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