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模仿宫结核的无塑性甲状腺癌:一个病例报告
Kallel Souha1, Ayadi Sirine1, Walha Omar1
1ENT Department and Research Laboratory LR23ES01, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia.
Ear, nose, & throat journal
|October 16, 2023
概括
厌塑性甲状腺癌是一种罕见的侵袭性癌症,可以模仿宫结核病. 诊断需要仔细评估,超越最初的表现,以确保对这种预后不佳的恶性瘤进行适当的治疗.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 医学案例报告 病例报告
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.
- ATC通常呈现为快速增长的部质量,但可能会出现不寻常的呈现.
- 宫结核可以出现类似的症状,使初步诊断复杂化.
研究的目的:
- 报告一个不寻常的类甲状腺癌模仿宫结核病的异常病例.
- 突出罕见的ATC呈现所带来的诊断挑战.
- 强调在疑似病例中进行彻底的组织病理学评估的重要性.
主要方法:
- 一个65岁的患者的病例报告,最初怀疑是结核病的子宫胀.
- 最初的调查包括成像,切口和排水,酸快细菌 (AFB) 聚合酶链反应 (PCR) 和非特异性活检.
- 由于瘤进展,进行了第二次活检,证实了厌塑性甲状腺癌.
主要成果:
- 最初的表现模仿了宫结核病,有死体质量和性分泌物.
- AFB PCR和初始活检对结核没有确定性,显示非特异性颗粒状炎症.
- 随后的活检证实了厌塑性甲状腺癌,导致转诊进行放射化疗.
结论:
- 无塑性甲状腺癌可以异常呈现,模仿其他疾病,如宫结核病.
- 由于不寻常的表现,诊断延迟可能会发生,这强调了需要全面检查的需要.
- 及时和准确的诊断对于启动适当的ATC管理至关重要.
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