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在有毒的甲状腺结节中意外发现差差分化的甲状腺癌
Kimberly Yuang1, Huda Al-Bahadili1, Alan Chang1
1Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Stony Brook University Hospital, Stony Brook, NY 11794, USA.
JCEM case reports
|November 1, 2023
概括
差差分化的甲状腺癌 (PDTC) 可能发生在有毒的甲状腺结节中. 这种罕见的癌症需要进一步研究热结节评估和同载体 (NIS) 表达,以改善诊断和治疗.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 差异化甲状腺癌 (PDTC) 是一种罕见的甲状腺恶性瘤.
- PDTC在差异化和形甲状腺癌之间表现出中间行为.
- 甲状腺功能障碍和多节是常见的甲状腺疾病.
研究的目的:
- 报告一种异常的PDTC病例在有毒甲状腺结节中.
- 建议加强对"热"甲状腺结节的评估,这些结节具有令人担忧的特征.
- 探索同载体 (NIS) 在PDTC表达的作用.
主要方法:
- 一个患有甲状腺功能障碍和多节的患者的病例介绍.
- 对于有毒结节而言,进行手术的叶叶切除术和静脉切除术.
- 手术病理学检查以确定PDTC.
主要成果:
- 诊断的PDTC是在一个有毒的结节内的右甲状腺叶.
- 患者出现甲状腺功能过高和压缩症状.
- 这些发现突出了甲状腺恶性瘤的不寻常表现.
结论:
- 在有毒甲状腺结节中应考虑恶性病变,特别是那些具有快速生长等令人担忧的特征.
- 需要对PDTC中NIS表达的进一步研究.
- 更好地了解PDTC中吸收可能会改进诊断和治疗策略.
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