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KMID : 0602820040100020043
Korean Journal of Bronchoesophagology
2004 Volume.10 No. 2 p.43 ~ p.48
The Clinical Association of Thyroid Lesions in Patients with Globus Pharyngeus
Park Kyoung-Ho

Cho Seung-Ho
Kim Min-Sik
Park Young-Hak
Park Hong-Chin
Hwang Sung-Jae
Kang Min-Gon
Abstract
Background and Objectives : Globus pharyngeus is the feeling of a lump or foreign body in the throat. Otolaryngologists are often confronted with this condition, and some author reported that it represents 3 percent of all new clinic referral. The purpose of this study is to estimate the incidence of impalpable thyroid lesion in patients with globes pharyngeus and investigate possible association between globus pharyngeus and thyroid lesions.

Material and Method : 146 patients with globus pharyngeus and 30 controls were prospectively examined by high resolution ultrasound.

Results: Thyroid abnormalities were present in 75/146(51%) patients with globus pharyngeus and in 7/30(23%) controls. Of the patients with globus, 55 patients had a nodule or nodules, 11 patients had a cyst or cysts, 9 patients had diffuse abnormalities. Solitary nodule ranged from 4mm to 20mm.

Conclusion : Impalpable, ultrasound detectable thyroid abnormailities are significantly more common in patients with globus pharyngeus than in controls. The thyroid abnormalities may be the cause of globus symptoms in some patients, and high resolution ultrasound is an important modality in patients presenting with globus.
KEYWORD
Globus Pharyngeus, Thyroid Gland, High Resolution Ultrasound
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