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A Case of Adenomatous Goiter Involving Diffuse, Acute, and Painful Thyroid Enlargement after Fine-Needle Aspiration Cytology
Joint Authors
Kurebayashi, Junichi
Ohta, Yusuke
Shimo, Toshiro
Ogata, Ryohei
Saito, Wataru
Koike, Yoshikazu
Yamashita, Tetsumasa
Yamamoto, Yutaka
Tanaka, Katsuhiro
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-03
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The patient was a 44-year-old woman who exhibited a diffuse goiter during health screening.
Her medical history did not include any significant medication-based treatment.
An echographic examination detected a solid cystic tumor, which measured 21 × 14 × 10 mm, in her right thyroid lobe; however, she displayed normal thyroid function.
After fine-needle aspiration cytology had been performed with a 22 G injection needle, the patient immediately complained of compression and pain extending from the front of her neck to her lower chin, which was not accompanied by dyspnea.
A second echographic examination revealed diffuse and edematous enlargement and increased internal blood flow in the bilateral thyroid lobes as well as a thyroid nodule.
We immediately iced the patient’s neck and administered 125 mg methylprednisolone via an intravenous infusion.
Within one hour, her symptoms had markedly improved, but acute pain remained.
Thus, we continued the steroid (prednisone) treatment, but the dose was gradually reduced from 10 mg/day to 5 mg/day at 1 week after the patient’s symptoms disappeared.
The mechanism responsible for the patient’s condition remains unclear.
American Psychological Association (APA)
Shimo, Toshiro& Tanaka, Katsuhiro& Ogata, Ryohei& Saito, Wataru& Ohta, Yusuke& Koike, Yoshikazu…[et al.]. 2014. A Case of Adenomatous Goiter Involving Diffuse, Acute, and Painful Thyroid Enlargement after Fine-Needle Aspiration Cytology. Case Reports in Endocrinology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034710
Modern Language Association (MLA)
Shimo, Toshiro…[et al.]. A Case of Adenomatous Goiter Involving Diffuse, Acute, and Painful Thyroid Enlargement after Fine-Needle Aspiration Cytology. Case Reports in Endocrinology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034710
American Medical Association (AMA)
Shimo, Toshiro& Tanaka, Katsuhiro& Ogata, Ryohei& Saito, Wataru& Ohta, Yusuke& Koike, Yoshikazu…[et al.]. A Case of Adenomatous Goiter Involving Diffuse, Acute, and Painful Thyroid Enlargement after Fine-Needle Aspiration Cytology. Case Reports in Endocrinology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034710
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034710