同步的原发性异位宫内甲状腺瘤和乳头甲状腺癌:双重麻烦:一个病例报告
Raja Jouini1,2, Karim Gritli1,3, Imen Helal1,2
1Faculty of Medicine of Tunis, Tunis El Manar University, 1007, Tunis, Tunisia.
Journal of medical case reports
|December 6, 2025
概括
这项研究报告了第一例与乳头甲状腺癌同时发生的初级异位甲状腺内腺瘤病例. 由于这些罕见疾病的非特异性表现,最终诊断需要病理学检查.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 胸腺瘤通常发生在前半胸前.
- 原发性异宫内甲状腺瘤是非常罕见的,只有9个先前的英语文学报道.
- 乳头甲状腺癌是最常见的甲状腺恶性瘤,约占病例的80%.
研究的目的:
- 为介绍第一例与乳头甲状腺癌共存的原发性异位性甲状腺内瘤报告的病例.
- 讨论这种罕见的双重诊断的临床,形态和免疫组织化学特征.
- 为了突出与这种特殊的共存相关的诊断挑战.
主要方法:
- 一名62岁的妇女出现了宫结节.
- 诊断工作包括宫超声波和甲状腺功能测试.
- 患者接受了全甲状腺切除术,随后进行了显微镜和免疫组织化学检查.
主要成果:
- 病理学检查显示,右甲状腺叶中的初级异位性甲状腺内腺瘤和左叶中的乳头性甲状腺癌.
- 患者的术后过程没有任何并发症.
- 术后两年,患者在治疗乳头甲状腺癌的辅助放射性治疗后仍然活着.
结论:
- 原发性异胎内甲状腺瘤非常罕见,需要病理确认才能诊断.
- 甲状腺内瘤的非特异性临床和放射性表现带来了诊断挑战.
- 原发性异胎内甲状腺腺瘤和乳头甲状腺癌的同步发生可能是偶然的.
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