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在患有格雷夫斯病的患者中,激进的同步乳头和可能的状甲状腺癌
Gerald Sng Gui Ren1, Sarah Tan Ying Tse1, Edwin Chew Jun Chen2
1Department of Endocrinology, Singapore General Hospital.
Journal of the ASEAN Federation of Endocrine Societies
|December 2, 2024
概括
这种病例突显出一种罕见的,激进的同步乳头癌 (PTC) 和卵泡性甲状腺癌 (FTC) 呈现. 同时的格雷夫斯病可能会导致这种侵袭性差异化甲状腺癌 (DTC) 的晚期.
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:
- 一名67岁的女性呈现了因Graves病而导致的二次性甲状腺毒性病.
- 她被诊断出患有同步的乳头癌 (PTC) 和卵泡性甲状腺癌 (FTC).
- 呈现异常激进,有广泛的心内瘤血栓和广泛的转移.
研究的目的:
- 报告一种罕见的侵袭性同步甲状腺癌的罕见病例.
- 讨论诊断方面的挑战和考虑.
- 为了突出ACR TI-RADS系统在积极的展示中的潜在局限性.
主要方法:
- 一个67岁的女性患者的病例报告.
- 诊断工作,包括成像和病理评估.
- 对同步甲状腺恶性瘤的诊断考虑的审查.
主要成果:
- 诊断同步PTC和转移性FTC.
- 广泛的转移性疾病包括心脏,骨盆,肺和淋巴结的参与.
- 患者拒绝了癌症特异性治疗,选择了息治疗.
结论:
- 同步的侵袭性甲状腺癌可以呈现出广泛的转移.
- 同时的格雷夫斯病可能会影响差异化甲状腺癌 (DTC) 的攻击性.
- ACR TI-RADS可能在检测某些攻击性超声波特征方面存在局限性.
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