在初级保健中出现与慢性咳和血栓塞并发的乳腺甲状腺癌:一个病例报告
Mohd Farid Abd Hamid1, Suraya Abdul Razak1,2, Awla Mohd Azraai3
1Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.
The American journal of case reports
|November 10, 2023
概括
乳头甲状腺癌可能伴有慢性咳和血,模仿肺部疾病. 在初级保健中早期诊断对于这些罕见病例的更好的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 内分泌学 在内分泌学.
背景情况:
- 肺外血栓塞的原因,包括甲状腺癌,不常见但显著.
- 乳头甲状腺癌可以潜伏地呈现,模仿常见的呼吸道疾病.
- 由于非特异性症状,初级保健医生可能会在早期怀疑时面临挑战.
研究的目的:
- 报告一种罕见的乳头甲状腺癌病例,主要表现为慢性咳和血.
- 突出强调考虑血栓塞的肺外病因的重要性.
- 强调初级保健在早期发现甲状腺恶性瘤中的作用.
主要方法:
- 一个54岁的女性患有慢性咳和血栓塞的病例报告.
- 在初级保健中进行初步评估,然后进行胸部高分辨率计算机断层扫描 (HRCT).
- 超声波,精细针吸收 (FNA),手术干预和术后放射性治疗.
主要成果:
- HRCT显示甲状腺病变,导致进一步调查.
- 精细针吸收证实了乳头状甲状腺癌.
- 患者接受了全甲状腺切除和部剖析,以及术后放射性治疗. 她没有任何证据表明她患有热性疾病或血栓塞的复发.
结论:
- 乳头甲状腺癌应考虑在血的差异诊断中,即使是在初级保健机构.
- 早期检测和及时治疗甲状腺癌呈出血,可以带来有利的结果.
- 这一案例强调了对持续的呼吸道症状需要广泛的诊断方法的需要.
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