ﮔﺰارش ﯾﮏ ﻣﻮرد ﮐﯿﺴﺖ اﮐﯿﻨﻮﮐﻮﮐﻮﺳﻰ اوﻟﯿﻪ ﻏﺪه ﺗﯿﺮوﺋﯿﺪ

A Primary Hydatid Cyst of Thyroid Gland

ﺧﺎﻧﻢ 34 ﺳﺎﻟﻪ اى ﺑﺎ ﺷﮑﺎﯾﺖ ﺗﻮده ﻗﺎﺑﻞ ﻟﻤﺲ و ﺑﺎ اﻓﺰاﯾﺶ ﺳﺎﯾﺰ در ﮔﺮدن ﺑﻪ درﻣﺎﻧﮕﺎه ﺟﺮاﺣﻰ ﻣﺮاﺟﻌﻪ ﻧﻤﻮد. در ﻣﻌﺎﯾﻨﻪ ﻓﯿﺰﯾﮑﻰ دو ﻧﺪول ﻧﺮم در ﻟﻮب ﭼﭗ ﺗﯿﺮوﺋﯿﺪ ﺑﺪون درﮔﯿﺮى ﺑﺎﻓﺖﻫﺎى اﻃﺮاف ﻟﻤﺲ ﺷﺪ. ﻋﻤﻠﮑﺮد ﻏﺪه ﺗﯿﺮوﺋﯿﺪ ﻧﺮﻣﺎل ﺑﻮد و ﮔﺰارش آﺳﭙﯿﺮاﺳﯿﻮن ﺳﻮزﻧﻰ ﻇﺮﯾﻒ ﺑﺮ ﺧﻮش ﺧﯿﻢ ﺑﻮدن ﺗﻮدهﻫﺎ دﻻﻟﺖ داﺷﺖ. ﺑﯿﻤﺎر ﺗﺤﺖ ﻋﻤﻞ ﺟﺮاﺣﻰ ﻟﻮﺑﮑﺘﻮﻣﻰ ﭼﭗ و اﯾﺴﺘﻤﮑﺘﻮﻣﻰ ﻗﺮار ﮔﺮﻓﺖ و ﭘﺎﺗﻮﻟﻮژى، ﻫﯿﭙﺮﭘﻼزى ﻧﺪوﻟﺮ و ﮐﯿﺴﺖ ﻫﯿﺪاﺗﯿﺪ را ﻧﺸﺎن داد. ﭘﺲ از ﺟﺮاﺣﻰ، ﺑﯿﻤﺎر از ﻧﻈﺮ ﮐﯿﺴﺖ ﻫﯿﺪاﺗﯿﺪ ﺳﺎﯾﺮ ارﮔﺎنﻫﺎ ﺑﻪ دﻗﺖ ﻣﻌﺎﯾﻨﻪ ﺷﺪ؛ اﻣﺎ ﻫﯿﭻ ﺿﺎﯾﻌﻪ ﮐﯿﺴﺘﯿﮏ در ﺣﻔﺮهﻫﺎى ﮐﺮاﻧﯿﺎل، ﺗﻮراﺳﯿﮏ و ﺷﮑﻤﻰ ﯾﺎﻓﺖ ﻧﺸﺪ. ﺑﺮ اﯾﻦ اﺳﺎس ﺑﯿﻤﺎر ﻣﻮرد ﮐﯿﺴﺖ ﻫﯿﺪاﺗﯿﺪ اوﻟﯿﻪ ﺗﯿﺮوﺋﯿﺪ ﺑﻪ ﺷﻤﺎر آﻣﺪ ﮐﻪ ﺣﺘﻰ در ﻧﻘﺎط اﻧﺪﻣﯿﮑﻰ ﻣﺎﻧﻨﺪ اﯾﺮان ﻧﯿﺰ ﺑﺴﯿﺎر ﻧﺎدر اﺳﺖ.

A 34-year-old female patient presented to the general surgery clinic of the hospital complaining of a growing tangible swelling in her neck. In physical examination, patient had two palpable soft nodules in the left lobe of the thyroid without invading to surrounding tissues. The function of thyroid gland was normal and Fine needle aspiration (FNA) result reported benign. Patient went through left lobectomy and isthmectomy. The result of Histopathology reported nodular hyperplasia and a hydatid cyst. After surgery, the patient was examined exactly searching for any other organs cyst, but there was no cystic lesion in the cranial, thoracic and abdominal cavities. Accordingly, the case was a primary thyroid hydatid cyst, which is completely scarce even in endemic regions like Iran.