The Clinical Association of Thyroid Lesions in Patients with Globus Pharyngeus

인후두부 이상감을 호소하는 환자와 갑상선 병변과의 임상적 연관성

  • Park Kyoung-Ho (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea) ;
  • Park Young-Hak (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea) ;
  • Hwang Sung-Jae (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea) ;
  • Kang Min-Gon (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea) ;
  • Park Hong-Jin (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea) ;
  • Kim Min-Sik (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea) ;
  • Cho Seung-Ho (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Catholic University of Korea)
  • 박경호 (가톨릭대학교 의과대학 이비인후과 교실) ;
  • 박영학 (가톨릭대학교 의과대학 이비인후과 교실) ;
  • 황성재 (가톨릭대학교 의과대학 이비인후과 교실) ;
  • 강민곤 (가톨릭대학교 의과대학 이비인후과 교실) ;
  • 박홍진 (가톨릭대학교 의과대학 이비인후과 교실) ;
  • 김민식 (가톨릭대학교 의과대학 이비인후과 교실) ;
  • 조승호 (가톨릭대학교 의과대학 이비인후과 교실)
  • Published : 2004.12.01

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.

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