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一个巨细胞类型的无塑性甲状腺癌从一个中胸外甲状腺的甲状腺癌
Daniel Nguyen1, Nyein Nyein Htun1, Beverly Wang1
1Department of Pathology and Laboratory Medicine, University of California, Irvine, CA 92868, USA.
Diagnostics (Basel, Switzerland)
|September 28, 2023
概括
厌塑性甲状腺癌是一种罕见且具有攻击性的恶性瘤,可以起源于甲状腺外皮组织的中间体. 这一案例突出了其转移的潜力,强调了在不分化的中瘤中考虑它的可能性.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 无塑性甲状腺癌 (ATC) 是一种具有不良预后的侵袭性甲状腺恶性瘤.
- 甲状腺外皮组织在中间体内可以从胚胎异常发展.
- 原发性恶性瘤可以从子宫外甲状腺组织中产生.
研究的目的:
- 报告一种罕见的异形甲状腺癌病例,该病例源于异形甲状腺中状腺组织.
- 调查这种罕见的ATC呈现的临床表现,病理发现和分子特征.
- 突出对未分化的中瘤恶性病的诊断考虑因素.
主要方法:
- 病例报告:一名90岁的男性患有中质和皮肤转移.
- 介质和皮肤样本的组织病理学检查.
- 甲状腺标记物的免疫组织化学染色.
- 对BRAF V600E突变进行分子分析.
主要成果:
- 诊断出巨细胞类型的无塑性甲状腺癌,该癌症来自外阴介质组织.
- 在差分化的瘤内存在带有阳性甲状腺标志物的乳头焦点.
- 证实了BRAF V600E突变的发生.
- 皮肤和骨转移的证据.
结论:
- 无塑性甲状腺癌可以起源于异胎性甲状腺介质组织.
- 在初级无差异性中性恶性瘤的差异诊断中应考虑ATC,特别是涉及骨的瘤.
- 在这些罕见的情况下,BRAF V600E突变可能是相关的分子标记物.
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