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Meta
Răspunsuri la întrebări (1828)
March 27, 2018
Roxana:
In urma tiroidectomiei totale, rezultatul biopsiei este urmatorul:
Micro 1 :Lob tiroidian stang:Sectiunile examinate din fragmentul A evidentiaza parenchim tiroidian cu arhitectura nodulara,cu prezenta de macro, micro si
normofoliculi,unii foliculi sunt dilatati chistic,fibroza, histiocite spumoase,cristale de colesterol si infiltrat inflamator limfocitar intestitial. In tesutul adipos peritiroidian se identifica o glanda paratiroida si un limfoganglion de 0.2 cm ,fara modificari notabile.
Sectiunile examinate din fragmentele B si C evidentiaza aspect histologic de parenchim timic ectopic.
2. Rest lob tiroidian dr. : Sectiunile examinate din cele doua fragmente evidentiaza parenchim tiroidian cu arhitectura nodulara, cu prezenta de normo si microfoliculi, focal macrofoliculi,fibroza si redus infiltrat inflamator limfocitar interstitial.
CONCLUZIE: gusa nodulara
Parenchim timic ectopic
Va rog sa imi spuneti ce inseamna.
Raspuns:
– rezultatul arata ca e vorba de o gusa nodulara benigna (adica se exclude un cancer tiroidian);
– parenchimul timic ectopic este o varianta anatomica in care tesut din timus se regaseste la nivelul tiroidei, cele doua organe fiind invecinate la nivelul gatului; NU are nicio semnificatie anume si nu impune alte investigatii sau tratamente speciale;
– excizia unei glande paratiroide (din 4 cate sunt in total) nu ar trebui sa puna vreo problema, dar este prudent sa se masoare calcemia, fosfatemia si nivelul PTH pentru a cerifica ca celelalte 3 paratiroide functioneaza normal;
Toate cele bune,
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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