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一种异常呈现的转移性甲状腺癌
B Ngqamba1, I Buccimazza1, S Ismail1
1Breast and Endocrine Unit, Department of Specialised Surgery, Inkosi Albert Luthuli Central Hospital, South Africa.
概括
转移性卵泡性甲状腺癌呈现为大量的头皮质量,侵蚀骨并扩散到肺部. 这种罕见的呈现突显了在异常转移模式下考虑甲状腺癌的重要性.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
背景情况:
- 毛囊性甲状腺癌很少转移到头皮.
- 头皮质量可能会带来诊断挑战,特别是当与其他发现相关时.
研究的目的:
- 报告一种罕见的头皮广泛转移的罕见病例,由卵泡性甲状腺癌引起.
- 在这种情况下,要突出诊断方法和成像发现.
主要方法:
- 临床检查,包括评估甲状腺结节和头皮质量.
- 图像研究:头骨X射线,大脑CT扫描和分期CT扫描.
- 通过头皮质量的超声波导向核心活检进行组织病理学确认.
主要成果:
- 一个18 x 17厘米的头皮质量与面部静脉瘤被确定.
- 观察到 parieto-occipital 骨的广泛侵蚀和进入右 parietal 叶的内延伸.
- 转移性卵泡性甲状腺癌在头皮质量中得到证实,并检测到额外的肺转移.
结论:
- 毛囊性甲状腺癌可以表现为广泛的头皮转移,模仿主要的骨或脑瘤.
- 多模式成像和活检对于准确的诊断至关重要.
- 这一案例强调了卵泡性甲状腺癌的攻击性潜力,以及需要全面的分期.
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