乳头甲状腺癌的诊断难题没有危险因素
Varchasvi Meena1, Nishant Gill1
1Otolaryngology - Head and Neck Surgery, Government Medical College, Kota, Kota, IND.
Cureus
|August 18, 2025
概括
在儿童中诊断乳头甲状腺癌 (PTC) 可能是具有挑战性的,因为细微的症状. 这一案例强调了警的临床怀疑和对儿科甲状腺癌的彻底调查的重要性,即使没有典型的危险因素.
科学领域:
- 儿科瘤学 儿科瘤学
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
背景情况:
- 乳头甲状腺癌 (PTC) 是儿童最常见的甲状腺恶性瘤.
- 儿科患者的诊断往往因异常表现和低临床怀疑而延迟.
- 儿童甲状腺癌经常出现淋巴结参与和远程传播.
研究的目的:
- 报告一名12岁女孩患有非典型呈现的儿科乳头甲状腺癌病例.
- 突出儿童PTC的诊断挑战和临床变异性,特别是在没有风险因素的情况下.
- 强调早期诊断和干预的重要性,以获得有利的结果.
主要方法:
- 一个12岁的女性患有双边部胀的病例报告.
- 最初的细针吸收细胞学 (FNAC) 表明一种良性结节.
- 进行了对比度增强CT,全甲状腺切除术,双边修改的部骨干剖析和组织病理学检查.
主要成果:
- 组织病理学证实了双边淋巴结转移的乳头甲状腺癌.
- 患者没有典型的风险因素,如辐射暴露或家族病史.
- 最初的FNAC是误导性的,暗示一种良性结结.
结论:
- 儿科PTC可能呈现异常,需要提高临床意识和积极的治疗.
- 早期诊断和手术管理对于儿童甲状腺癌的长期结果至关重要.
- 这一案例强调了尽管看起来风险较低的表现,但需要进行全面评估.
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