甲状腺转移的骨髓瘤:一个罕见的病例报告
Selen Soylu1, Tülin Öztürk2, İrem Onur2
1Clinic of General Surgery, Başakşehir Çam and Sakura City Hospital, İstanbul, Türkiye.
Turkish journal of surgery
|February 21, 2025
概括
骨外骨肉瘤是一种罕见的甲状腺癌,可以模仿亚塑性甲状腺癌. 这种病例突出了一个患有骨髓瘤病史的患者,他患有甲状腺质量,并通过全甲状腺切除术成功治疗.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 甲状腺肉瘤是罕见的,难以区分于形甲状腺癌.
- 骨外骨肉瘤是一种罕见的非皮质瘤,可以发生在各种器官,包括甲状腺.
- 骨质肉瘤的病史增加了诊断新的甲状腺质量的复杂性.
研究的目的:
- 报告一种罕见的甲状腺骨外骨肉瘤病例.
- 为了强调在区分甲状腺肉瘤与其他甲状腺恶性瘤的诊断挑战.
- 为了展示一个患有甲状腺骨肉瘤复发的患者的成功管理.
主要方法:
- 一个31岁的女性的临床表现,部质量,呼吸障碍和消化障碍.
- 诊断工作包括体检,计算机断层扫描 (CT) 扫描,细针吸收 (FNA) 和正子发射断层扫描 (PET).
- 通过双边全甲状腺切除术进行手术管理.
主要成果:
- 在左甲状腺叶被触摸到一个4x5厘米的固体质量.
- 扫描显示了2.5厘米的化病变;FNA证实了与之前的骨髓瘤相同的多形瘤细胞.
- 图像显示左甲状腺有高代谢性损伤.
- 双边全甲状腺切除术没有出现并发症.
结论:
- 骨外骨肉瘤可以发生在甲状腺中,这会给诊断带来挑战.
- 多模式成像和细胞学检查对于诊断至关重要.
- 手术切除,如全甲状腺切除术,可以是甲状腺骨髓瘤的有效治疗方法.
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