无塑性甲状腺癌是在患者由于乳头甲状腺癌导致的部分甲状腺切除术发生多年后发展的
Banu Karapolat1, Yusuf Ziya Yamak1, Ayten Livaoğlu2
1Department of General Surgery, Kanuni Training and Research Hospital, Trabzon, Turkey.
Acta clinica Croatica
|February 4, 2026
概括
即使在近乎完全的甲状腺切除术后,对于乳头甲状腺癌,新的恶性瘤,如形甲状腺癌可以在残余组织中发展. 在这种情况下,建议完成甲状腺切除术和多模式治疗.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 手术瘤学手术瘤学
背景情况:
- 乳头甲状腺癌是一种常见的甲状腺恶性瘤.
- 几乎全甲状腺切除术是一种标准的手术方法.
- 剩余的甲状腺组织构成开发新甲状腺癌的风险.
研究的目的:
- 报告一种罕见的形甲状腺癌病例,在乳头甲状腺癌初次手术多年后,在剩余的甲状腺组织中发展.
- 强调警的随访的重要性,并考虑在特定情况下完成甲状腺切除术.
主要方法:
- 一个80岁的女性患有部胀和呼吸障碍的案例介绍.
- 诊断工作包括体检,断层扫描,细针吸血活检和器官扫描.
- 手术干预包括完成全甲状腺切除术和彻底部剖析.
- 组织病理学确认和辅助放射性-131治疗.
主要成果:
- 这名患者被诊断出在残留的甲状腺组织中患有厌塑性甲状腺癌.
- 瘤很大 (10x12厘米),导致气管压缩.
- 手术后进行放射性治疗.
- 患者有了有利的3个月的随访.
结论:
- 无塑性甲状腺癌可以在皮皮性甲状腺癌手术后的几年内在剩余的甲状腺组织中出现.
- 完成全甲状腺切除术和多模式辅助疗法对于管理这种晚发性恶性瘤至关重要.
- 对于患有甲状腺癌病史的患者,进行近全甲状腺切除术治疗,长期监测至关重要.
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