A case of thyroid adenomatous goiter with skin fistula

概要

論文の詳細を見る
We report a case of thyroid adenomatous goiter with skin fistula who had a history of lung tuberculosis and renal tuberculosis. The patient was a 72-year-old male who had noticed anterior neck swelling 25 years ago and noticed skin fistula and serous effusion without a reason for 5 years. He had consulted a local hospital and had been treated with isoniazido under a diagnosis of neck lymph node tuberculosis for 3 years. He consulted our hospital because the symptom persisted. We performed several examinations for tuberculosis including culture, TbPCR (phlegm, gastric juice, effusion from skin fistula) and open biopsy, but there was no evidence of tuberculosis. Neck CT and MRI revealed a left thyroid tumor which displaced the trachea to the right and bilateral lymph node swelling with calcification which was suspected to be the old tuberculosis of neck lymph nodes. We performed a left thyroid lobectomy with resection of the skin fistula and it was proved to be an adenomatous goiter by pathological examination. We considered that the skin fistula had formed by the old tuberculosis of neck lymph nodes.
特定非営利活動法人日本頭頸部外科学会の論文