通过口腔内镜甲状腺切除术植入癌细胞:一个案例报告
Daqi Zhang1, Hui Sun1, Matteo Annoni2
1Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun, China.
Gland surgery
|February 11, 2026
概括
在经过口腔内镜前庭接近 (TOETVA) 甲状腺手术后,可以出现分化甲状腺癌的复发. 这一案例强调了早期检测和管理TOETVA后肌肉和皮下复发的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 微创手术技术,包括口腔内镜前庭治疗方法 (TOETVA),已经成为甲状腺手术传统开放手术的替代方案.
- 分化甲状腺癌通常会复发或转移到淋巴结,肺,骨和肝脏.
- 虽然不常见,但导致复发或转移的原发性癌细胞植入是一种严重的并发症,其检测和治疗可能具有挑战性.
研究的目的:
- 报告一个差异化甲状腺癌复发病例.
- 讨论可能导致TOETVA后复发的潜在因素.
主要方法:
- 一名55岁的男性患者接受了完成甲状腺切除术,中枢淋巴结解剖 (6和7级),以及切除皮下和肌肉节点.
- 这位患者有五年前通过TOETVA进行左甲状腺切除术的病史.
主要成果:
- 在最初的TOETVA手术5年后,该患者出现了分化甲状腺癌的肌肉和皮下复发.
- 为了控制复发,需要进行第二次手术.
结论:
- 诸如瘤生物学,局部环境,手术的技术方面,外科医生的技能和瘤结节的管理等因素至关重要.
- 这些因素可以影响甲状腺癌TOETVA治疗后的局部复发和恶性细胞植入.
相关概念视频
Data Reporting and Recording
5.5K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.5K
Types of Reports I: Hands-off Report
1.6K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.6K
Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K
Endoscopic Studies II: Thoracocentesis
1.5K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.5K
Endoscopic Procedures I: Esophagogastroduodenoscopy
1.3K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
1.3K
Endoscopic Procedures II: Colonoscopy
773
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
773


