Liu JB, Zhang SL, Jiang WL, Sun HK, Yang HC. Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus: A case report. World J Clin Cases 2024; 12(8): 1497-1503 [PMID: 38576820 DOI: 10.12998/wjcc.v12.i8.1497]
Corresponding Author of This Article
Jiang-Bo Liu, PhD, Associate Professor, Department of Thyroid and Breast Surgery, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, No. 24 Jinghua Road, Luoyang 471000, Henan Province, China. jiangboliuxing@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 16, 2024; 12(8): 1497-1503 Published online Mar 16, 2024. doi: 10.12998/wjcc.v12.i8.1497
Chronic infectious unilateral giant thyroid cyst related to diabetes mellitus: A case report
Jiang-Bo Liu, Shi-Lei Zhang, Wen-Long Jiang, Hai-Kuan Sun, Hao-Chen Yang
Jiang-Bo Liu, Shi-Lei Zhang, Wen-Long Jiang, Hai-Kuan Sun, Department of Thyroid and Breast Surgery, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, Luoyang 471000, Henan Province, China
Hao-Chen Yang, Clinical Medicine School, The First Clinical College, Chongqing Medical University, Chongqing 400016, China
Author contributions: Liu JB, Zhang SL, and Jiang WL performed the surgery and revised the manuscript; Zhang SL, Jiang WL, and Sun HK collected the patient data; Liu JB and Zhang SL drafted the first manuscript; and all authors contributed to the article and approved the submitted manuscript.
Informed consent statement: Written informed consent has been obtained from the patient(s) to publish this paper.
Conflict-of-interest statement: All authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jiang-Bo Liu, PhD, Associate Professor, Department of Thyroid and Breast Surgery, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, No. 24 Jinghua Road, Luoyang 471000, Henan Province, China. jiangboliuxing@163.com
Received: December 12, 2023 Peer-review started: December 12, 2023 First decision: December 21, 2023 Revised: January 7, 2024 Accepted: February 18, 2024 Article in press: February 18, 202 Published online: March 16, 2024
Abstract
BACKGROUND
Patients rarely develop complicated infections in thyroid cysts. Here, we describe a patient with chronic infected unilateral giant thyroid cyst related to diabetes mellitus (DM).
CASE SUMMARY
A 66-year-old male was admitted due to an evident neck lump for 5 d after approximately 40 years of gradually progressive neck mass and 7 years of DM. Doppler ultrasound and computed tomography scan showed a giant lump in the left thyroid gland lobe. He was diagnosed with a large thyroid nodule complicated by tracheal dislocation and had surgical indications. Surgical exploration revealed evident inflammatory edema and exudation between the left anterior neck muscles, the nodule and glandular tissue. Fortunately, inflammatory lesions did not affect major neck vessels. Finally, a left partial thyroidectomy was performed. Macroscopic observation showed that the cystic thyroid mass consisted of extensive cystic wall calcification and was rich in massive rough sand-like calculi content and purulent matter. Postoperative pathology confirmed benign thyroid cyst with chronic infection.
CONCLUSION
The progression of this chronic infectious unilateral giant thyroid cyst may have been related to DM, and identifying blood vessels involvement can prevent serious complications during operation.
Core Tip: When encountering a huge thyroid mass with coinfection in the clinical setting, comprehensive examination is required to confirm the cause of its formation and subsequent individualized treatment strategies. With carefully applied surgical procedures, complications such as severe intraoperative and postoperative hemorrhage can be avoided or reduced. This report may provide clinicians with perspectives for the diagnosis and treatment of giant thyroid cysts complicated by infection under diabetes mellitus conditions.
