異位甲狀腺組織以腎上腺偶見瘤呈現：病例報告及文獻回顧
朱懿柏1 林宜佳1,2 黃一勝1,2
新光吳火獅紀念醫院 外科部 泌尿科1
輔仁大學 醫學系2
Case report: Ectopic thyroid tissue in the adrenal gland presenting as an adrenal incidentaloma
Yi-Bo Chu1, Yi-Chia Lin1,2, Thomas I.S. Hwang1,2
Division of Urology, Department of Surgery, Shin Kong WHS Memorial Hospital1
School of Medicine, Fu-Jen Catholic University2
Abstract:
According to the embryology, the development of thyroid gland migrates from the tongue to the anterior of the trachea. So ectopic thyroid tissue is common diagnosed at head and neck region, and it is difficult to find and explain the thyroid tissue beneath diaphragm. The definite pathogenesis is still unknown and the metastasis of thyroid cancer should be ruled out first, especially medullary thyroid carcinoma. Here we presented a rare case, a 48-year-old male with hyperthyroidism under medication control. However, a right adrenal tumor was detected incidentally by CT scan. He underwent robotic-assisted laparoscopic adrenalectomy and the final histology was ectopic thyroid tissue in the adrenal gland.