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慢性纤维性甲状腺炎

慢性纤维性甲状腺炎

别名:慢性侵袭性纤维性甲状腺炎,慢性硬化性甲状腺炎,木样甲状腺炎(肿),Riedel甲状腺炎(肿),里德尔

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慢性纤维性甲状腺炎介绍
  • 甲状腺呈纤维化硬化并可侵犯周围组织
  • 可见吞咽障碍、呼吸困难、声音嘶哑等压迫症状
  • 临床罕见,药物和手术治疗为主,可缓解症状

简介

慢性纤维性甲状腺炎临床罕见,又称为慢性侵袭性纤维性甲状腺炎、慢性硬化性甲状腺炎、木样甲状腺炎、Riedel甲状腺肿等,表现为正常的甲状腺组织被大量、致密的纤维组织所替代。常见症状是甲状腺出现肿块,质地坚硬如木块、石块,并可侵犯周围组织,造成局部压迫症状,如咽部异物感、吞咽不适、吞咽困难、呼吸困难、声音嘶哑等症状。慢性纤维化甲状腺炎具有一定的自限性,部分患者可无明显症状或自行缓解,出现局部压迫症状者,通过药物及手术治疗,多可得到缓解,但有复发可能。如未及时规范治疗,少数患者可出现严重吞咽困难、呼吸困难、甲状腺功能减退等,影响患者正常生活,甚至危及生命。

症状表现:

本病的常见症状是甲状腺出现肿块,质地坚硬如木块、石块,并可造成局部压迫症状,如咽部异物感、吞咽不适、吞咽困难、呼吸困难、声音嘶哑等症状。

诊断依据:

本病确诊的金标准是病理学检查。甲状腺穿刺活检,甲状腺内可见大量纤维组织增生。

慢性纤维性甲状腺炎有哪些类型?

本病无分型。

是否具有传染性?

是否常见?

本病罕见。国内仅有散在的报道,多见于30~60岁的成人,女性居多。

是否可以治愈?

可以治愈。慢性纤维化甲状腺炎具有一定的自限性,部分患者可无明显症状或自行缓解,出现局部压迫症状者,通过药物及手术治疗,多可得到缓解,但有复发可能。如未及时规范治疗,少数患者可出现严重吞咽困难、呼吸困难、甲状腺功能减退等,影响患者正常生活,甚至危及生命。

是否遗传?

是否医保范围?

快速问医生
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