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증례 : 내분비-대사 ; 림프절 결핵완치 후 갑상선 결핵으로 재발된 1예
유희용 ( Hee Yong Yoo ),정철호 ( Chul Ho Chung ),노미오 ( Mi Oh Roh ),박형규 ( Hyeong Kyu Park ),변동원 ( Dong Won Byon ),서교일 ( Kyo Il Suh ),유명희 ( Myung Hi Yoo ) 대한내과학회 2009 대한내과학회지 Vol.77 No.6
결핵의 유병률이 높은 국내에서 갑상선 결핵은 드물고, 속립성 결핵의 갑상선 침범이나 갑상선 결절, 갑상선염, 농양 또는 갑상선암이 의심되어 갑상선 절제 후 갑상선 결핵으로 진단되어 항결핵제로 치료한 경우가 대부분이다. 저자들은 6년 전 경부 림프절 결핵으로 항결핵제를 복용한 후 완치판정을 받은 32세 여자 환자에서 갑상선 종괴가 우연히 발견되어 미세침흡인세포 검사를 통해 항산균을 확인하고 갑상선 결핵으로 진단한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Thyroid tuberculosis is rare, and primary tuberculosis is extremely rare. In most cases, thyroid tuberculosis presents as a thyroid nodule, thyroiditis, thyroid abscess, or thyroid cancer, and is often diagnosed after thyroidectomy. We experienced a case of thyroid tuberculosis that presented as a palpable thyroid nodule in a 32-year-old female patient. The patient had been previously diagnosed with cervical tuberculous lymphadenitis and had been treated successfully 6 years ago. Fine needle aspiration of the thyroid gland showed a small number of neutrophils and macrophages in a necrotic background, and many acid-fast bacilli were found with AFB staining. The patient began anti-tuberculosis therapy as an outpatient and is currently being followed regularly. Here, we report a case of thyroid tuberculosis diagnosed after the apparent cure of cervical lymph node tuberculosis. Additionally, a review of the literature is included. (Korean J Med 77:771-774, 2009)
정준호,신준영,이상훈,박성재,변동원,이동현 梨花女子大學校 醫科大學 醫科學硏究所 2002 EMJ (Ewha medical journal) Vol.25 No.2
A 41-year-old male visited Ewha womans university hospital with the symptom of frequency, dysuria and residual urine sensation. We could find a Mullerian duct cyst by Transrectal ultrasonography(TRUS) and MRI image. Mullerian duct cyst was incised by transutricular seminal vesiculoscopy(TUS). The symptom was decreased significantly after surgical treatment. Presently, We report this case with a review of the Mullerian duct cyst.