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在药物诱导的甲状腺功能障碍后,细胞癌转移到甲状腺:病例报告
Juan Bautista Del Valle1, Julio Cesar Roa Garcia1, Mauricio Arturo Osorio Montaño1
1Hospital Italiano de Buenos Aires.
概括
细胞癌可以转移到甲状腺,即使在最初治疗几年后. 这一案例凸显了在有癌病史的患者中调查甲状腺结节的重要性.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 细胞癌 (RCC) 往往具有侵略性,30%的患者呈现转移性疾病.
- 常见的RCC转移部位包括肺部,淋巴结,肝脏和骨.
- 罕见的RCC转移部位包括甲状腺.
研究的目的:
- 报告细胞癌 (RCC) 转移的不寻常表现.
- 为患者管理提供新兴的诊断技术.
主要方法:
- 一个有RCC病史的60岁男性的病例报告.
- 患者接受了瘤切除术,索莱德酸盐,帕佐帕尼布和尼沃卢马布治疗转移性进展.
- 药物诱导的甲状腺功能障碍的诊断和随后的甲状腺结节的超声波引导细针吸收活检.
主要成果:
- 确定了甲状腺功能障碍 (TSH 9.23 uUI/mL) 和甲状腺结节.
- 多普勒超声波和应变弹性学有助于结节的评估.
- 精细针吸收活检证实甲状腺转移性细胞癌.
结论:
- 甲状腺功能障碍的RCC患者的甲状腺结节可能表明晚期瘤进展.
- 早期发现和诊断罕见转移对于患者管理至关重要.
- 先进的成像技术提高了转移性疾病的诊断准确度.
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