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KMID : 0361020010440020196
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 2 p.196 ~ p.200
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Incidence and Clinical Significance of Thyroid Lesions in Patients with Globus Pharyngeus
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권기환/Kee Whan Kwon
이상혁/김남훈/이정우/이경철/진성민/이용배/Sang Hyuk Lee/Nam Hoon Kim/Jung Woo Lee/Kyung Chul Lee/Sung Min Jin/Yong Bae Lee
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Abstract
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Background and Objectives : Globus pharyngeus represents 3-4% of new otolaryngology outpatient referrals. The globus symptom in the throat may be an indication of thyroid abnormalities. The purpose of this study is to estimate the incidence of
impalpable thyroid lesions in patients with globus pharyngeus and investigate possible association between globus pharyngeus and thyroid lesion. Materials and Methods : The thyroid glands of 128 patients with globus pharyngeus and 50 controls
were
examined by ultrasound by a consultant radiologist using a 7 MHz probe. Results : Thyroid abnormalities were present in 69/128(54%) patients with globus and in 11/50(22%) controls(p<0.05). Of the thyroid lesions in globus pharyngeus, 42/69(61%)
had
nodules. The diameter of the echoic nodules varied from 2 to 23 mm. Thyroid lesions were common(78%) in female patients with globus, between the ages of 30 and 40. Conclusion : Impalpable thyroid abnormalities are significantly more common in
patients
with globus pharyngeus than in controls. Abnormalities of the thyroid gland may be the cause of globus symptoms in some patients, and it is necessary to evaluate the thyroid gland for investigation of the cause of globus pharyngeus.
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KEYWORD
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