呈现为大型囊性淋巴结的乳腺甲状腺小癌:一个病例报告
Abdulwahid M Salih1,2, Aras J Qaradakhy1,3, Hardi M Dhahir1
1Department of Scientific Affairs, Smart Health Tower, Sulaymaniyah, Kurdistan 46001, Republic of Iraq.
Oncology letters
|February 3, 2025
概括
这项案例研究突出了一个罕见的乳头甲状腺癌病例,呈现为长期存在的囊性部质量. 早期的错误诊断强调了在囊性病变中考虑转移性癌症的重要性.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 头部和部手术 头部和部手术
背景情况:
- 乳头甲状腺癌 (PTC) 可以呈现异常,具有挑战性的临床诊断.
- 囊性部质量通常被误诊为良性疾病,如分支裂囊.
- 转移性PTC呈现为囊性病变并不常见,但在诊断上是复杂的.
研究的目的:
- 报告一种乳头甲状腺癌的病例,最初呈现为长期存在的囊性部质量.
- 为了强调与囊性转移性甲状腺癌相关的诊断挑战.
- 突出成功管理和跟进此类案件.
主要方法:
- 一个21岁的女性的病例报告,在3年的部胀史中.
- 诊断成像 (扫描) 来评估甲状腺结节和囊性病变.
- 手术干预:全甲状腺切除术与部剖析.
- 手术后治疗:放射性治疗.
主要成果:
- 囊性病变和甲状腺结节被证实是乳头甲状腺癌,转移到囊.
- 患者接受了成功的手术治疗和放射性治疗.
- 在6个月的随访期间,没有观察到复发.
结论:
- 囊性淋巴结参与PTC转移,虽然很少见,但需要仔细考虑.
- 诊断警对于识别甲状腺癌的非典型表现至关重要.
- 及时诊断和多模式治疗导致转移性PTC的良好结果.
相关概念视频
The Thyroid Gland
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Detailed Structure and Function of Lymph Nodes
Lymph nodes are bean-shaped structures that cluster along the lymphatic vessels in the inguinal, axillary, and cervical regions. Each node is divided into compartments by a capsule that extends trabeculae inward.
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
Hyperthyroidism I: Introduction
Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Hyperthyroidism II: Pathophysiology
Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Goiter
Goiter refers to an abnormal enlargement of the thyroid gland that may appear as a diffuse goiter (uniform enlargement) or nodular (single or multiple nodules). Functionally, it is classified as nontoxic (normal/low hormone levels) or toxic (excess hormone production).PathophysiologyDiffuse thyroid enlargement typically results from prolonged stimulation by thyroid-stimulating hormone (TSH) or TSH-like agents, commonly seen in hypothyroidism or iodine deficiency. In contrast, in hyperthyroid...


