下颌骨升支转移性甲状腺癌1例报道并文献复习
作者简介:

陈杰,Email:cj1959@126.com


Thyroid cancer metastases to the ascending ramus of the mandible:a case report and literature review
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
    摘要:

    目的 探讨滤泡型甲状腺癌(FTC)下颌骨升支骨转移的临床诊治经验。方法回顾性分析1例下颌骨升支转移性甲状腺癌患者的病例资料,通过对该疾病相关文献的复习,进而对该疾病的临床特点、诊断与治疗进行讨论。结果本例患者术前行CT示甲状腺左叶肿块性质待定,考虑甲状腺癌;左侧下颌骨升支骨质破坏并软组织形成,考虑骨巨细胞瘤。行甲状腺次全切,并将下颌骨部分升支及肿块一并切除。术后病理证实下颌骨肿物为滤泡性甲状腺癌转移。术后1年患者复查未见复发及转移。结论滤泡型甲状腺癌的细胞异型性小,术中快速病理诊断困难,发生下颌骨转移更为罕见。无论是影像学医生还是临床医生都要仔细阅读影像图片,并结合病史评估患者全身多发肿块的来源,作出相对正确的诊疗计划,避免误诊。

    Abstract:

    Objective To explore the clinical diagnosis and treatment of follicular thyroid carcinoma (follicular thyroid carcinoma,FTC) with mandibular metastasis.MethodsA case of thyroid cancer with mandibular metastasis was reviewed, and the clinical characteristics, diagnosis and treatment of the disease were discussed by reviewing the relevant literature of the disease.ResultsThe patient underwent preoperative CT scanning: The nature of the left thyroid lobe mass is to be determined, which was considered thyroid cancer; the left ascending branch of the mandible is damaged and soft tissue is formed. Considering the possibility of giant cell tumor of bone. The subtotal thyroidectomy was performed, and the ascending branches and masses of the mandible were removed. Postoperative pathology confirmed follicular thyroid cancer metastasis.Postoperative reexamination showed no recurrence or metastasis after one year.ConclusionThe cell atypia of follicular thyroid carcinoma is relatively less obvious, and its rapid pathological diagnosis is difficult during operation, and mandibular metastases are rare. Both imaging doctors and clinicians must carefully read the imaging pictures, evaluate the source of multiple tumors in the whole body based on the medical history,so as to make a relatively correct diagnosis and treatment plan to avoid misdiagnosis.

    参考文献
    相似文献
    引证文献
引用本文

王芳,艾昭东,王志远,陈杰.下颌骨升支转移性甲状腺癌1例报道并文献复习[J].中国耳鼻咽喉颅底外科杂志,2020,26(1):92-94

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 在线发布日期: 2020-02-29
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭