临床病例讨论——甲状腺结节伴甲状腺功能异常

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.

Thyroid nodules with abnormal thyroidism

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.