甲状腺癌与内静脉瘤栓塞和骨底部入侵导致多神经病变
Hiroki Matsushita1, Gaku Omura2, Sumiyo Saburi3
1Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan; Department of Otolaryngology-Head and Neck Surgery, Kyoto First Red Cross Hospital, 605-0981, Japan; Department of Otolaryngology, JCHO Kobe Central Hospital, Kobe, 651-1145, Japan.
Auris, nasus, larynx
|December 20, 2025
概括
一种罕见的甲状腺癌病例通过内静脉 (IJV) 侵入头骨底部,导致头骨神经问题. 这种不寻常的呈现突出了瘤的侵略性扩展模式.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 甲状腺癌可以呈现出罕见而具有侵略性的扩展模式.
- 瘤栓塞进入内静脉 (IJV) 是一个不常见的并发症.
- 甲状腺癌侵入头骨底部可以导致严重的神经缺陷.
研究的目的:
- 报告一个独特的甲状腺癌病例与逆行性IJV瘤栓塞.
- 描述头骨进展和由此产生的神经病变.
- 为了突出甲状腺癌的非典型表现扩展.
主要方法:
- 一个80岁的老妇人的病例报告,有一个被忽视的宫质量.
- 诊断成像包括超声波和MRI,以评估IJV和骨底部.
- 精细针吸收细胞学和活检用于组织病理学诊断.
主要成果:
- 确定了一种大型的囊性宫病变,瘤栓塞在IJV延伸到头骨底部.
- 患者出现了面部,舌头偏差和声带 (关节综合征).
- 活检证实了带有差异化区域的乳头甲状腺癌.
结论:
- 这是甲状腺癌与逆行性IJV瘤栓塞导致头骨底部入侵和骨孔综合征的首例记录.
- 静脉静止和瘤脱差可能促进了骨进展.
- 这一案例强调了甲状腺癌的多样化和潜在的严重扩展模式.
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