【Typical ultrasound image】Hashimoto's thyroiditis

1.
Patient, female, 21 years old

2.
Case 2, female, 21 years old, Hashimoto's thyroiditis complicated by hyperthyroidism

3.
Patient, female, 36 years old, Hashimoto's thyroiditis with right lobe micropapillary carcinoma

Knowledge point links

Hashimoto's thyroiditis, also known as Hashimoto's disease, autoimmune thyroiditis, chronic lymphothyroiditis, is a typical autoimmune inflammation
.
It is more likely to occur in women and has an insidious
onset.
The clinical manifestations are goiter, diffuse, smooth surface, hard texture, painless, non-adherent with surrounding tissues, and do not affect the recurrent laryngeal nerve
.

Most patients have no obvious self-conscious symptoms, or show a series of symptoms with hyperthyroidism and hypothyroidism, and compression symptoms
can occur when the gland is significantly enlarged.

Experienced sonographers can use color Doppler ultrasound to diagnose Hashimoto's thyroiditis with a rate of more than
90%.

Typical ultrasound findings: normal or enlarged thyroid, diffuse reduction of parenchymal echo, and obvious reduction, rough structure, internal grid-like, cord-like strong echo are characteristic changes
of the disease.
Accompanied by bilateral bilateral cervical VI zone and anterior laryngeal lymphadenopathy
.

Hashimoto's thyroiditis can be complicated by nodules, papillary thyroid carcinoma, thyroid adenolymphoma, or medullary cancer
.

Hashimoto's thyroiditis may be associated with hyperthyroidism or hypothyroidism
.

Laboratory tests: elevated TGAb and TPOAb are the main laboratory diagnostic basis
.