下腺囊性囊性癌呈肝转移作为最初的症状:一个病例报告
Tianyi Li1, Tingyao Ma1, Yue Zhao1
1Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, P.R. China.
Oncology letters
|November 3, 2025
概括
本病例报告详细介绍了一种罕见的下下腺腺囊性癌 (ACC),最初呈现肝转移. 有效管理如此激进的ACC需要多学科的方法.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 腺状囊性癌 (ACC) 是一种罕见的,具有高远转移倾向的侵袭性恶性瘤.
- 甲状腺癌转移到肝脏和淋巴结是不常见的,缺乏标准化的治疗方案.
研究的目的:
- 报告一种罕见的下下腺ACC病例,最初出现肝转移.
- 突出管理具有异常转移模式的高级ACC的挑战.
主要方法:
- 一名下下腺质量患者接受了PET/CT,揭示了肝转移.
- 对下下腺瘤和肝转移进行了手术切除.
- 组织病理学检查证实了cribriform类型ACC与淋巴血管和周围神经侵入.
主要成果:
- 该患者出现下下腺ACC和初始肝转移.
- 手术后,21个月后出现了新的淋巴结转移.
- 患者在肝转移诊断后28个月生存,病情稳定.
结论:
- 这种病例代表了一种罕见的,具有攻击性的下下腺ACC变体,具有初始的肝转移.
- 跨学科的策略对于管理复杂的转移性ACC病例至关重要.
- 早期检测和量身定制的治疗对于改善高级ACC的结果至关重要.
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