Esophageal Diverticulum Mimicking a Calcified Thyroid Nodule on Ultrasound: A Case Report

超音波檢查中以甲狀腺鈣化結節表現的食道憩室：病例報告

賴健民(Chien-Min Lai) ； 許競文(Jin-Wen Hsu)

《南臺灣醫學雜誌》 13卷2期 (2017/12) Pp. 103-107

https://doi.org/10.6726/MJST.201712_13(2).0008

摘要

Small and asymptomatic hypo- pharyngeal diverticulum is likely to be misdiagnosed as a thyroid nodule due to the proximity of the upper esophagus to the thyroid gland. The principles to distinguish between esophageal diverticula and thyroid nodules should be noted clearly to avoid the unnecessary invasive procedures. In the current case, a 32-year-old man presented with a 'suspected malignant thyroid nodule' in the left thyroid gland, and underwent a neck exploration. However, no visible 'suspected thyroid tumor but a sac protruding from the left anterolateral wall of the cervical esophagus, was observed during the surgery. The esophageal mass was resected and the pathology revealed diverticula of esophagus. The patient recovered well after 3 months of surgery. Real-time ultrasonography and pharyngoesophagography are important techniques to distinguish a hypopharyngeal diverticulum from a thyroid nodule. That will help the clinicians to avoid the unnecessary interventions.

關鍵字

Killian-Jamieson esophageal diverticulum ； calcification ； surgery

並列摘要

由於上段食道與甲狀腺的位置相近，尺寸小而且無症狀的食道憩室可能被誤認為甲狀腺結節。為了避免不必要的侵入性處置，臨床醫師應明暸該如何區分食道憩室與甲狀腺結節間的原則。病例報告為一名32歲的男子在左側甲狀腺中發現“疑似甲狀腺惡性結節” 並進行了頸部探查手術。手術期間未發現甲狀腺病灶，而是從食道左前壁看見一個突出的囊腫。切除此食道腫塊後，病理報告為食道憩室。患者於手術3個月後恢復良好。頸部超音波和食道鋇劑造影檢查是區分食道憩室與甲狀腺結節的重要工具。這將有助於臨床醫生避免不必要的侵入性處置。

並列關鍵字

食道憩室 ； 鈣化 ； 手術