甲状腺管囊中的乳头癌:一个病例报告
Sabina Rijal1, Abhishek Pandey1, Saugat Karki2
1Department of Radiodiagnosis & Imaging, National Medical College Teaching Hospital, Birgunj, Parsa 44300, Nepal.
Radiology case reports
|February 27, 2026
概括
甲状腺管囊的恶性瘤很少见,通常呈现为中线胀. 诊断需要在成像和细针吸入细胞学证明不确后进行组织病理学分析.
科学领域:
- 头部和部手术 头部和部手术
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 甲状腺管囊 (TDC) 是一种先天性异常,恶性转变极为罕见.
- 恶性瘤通常表现为中线部质量,需要先进的成像来进行表征.
- 存在诊断方面的挑战,因为细针吸收细胞学 (FNAC) 往往无法得出结论.
研究的目的:
- 报告一种罕见的乳头癌在甲状腺管囊中发生的病例.
- 为了突出诊断成像特征和组织病理学确认过程.
主要方法:
- 一个36岁的女性的案例介绍,她有一个无痛的中线部胀.
- 诊断成像包括超声波和对比增强计算机断层扫描 (CECT).
- 进行了细针吸收细胞学 (FNAC),随后进行了手术切除和组织病理学分析.
主要成果:
- 图像检查显示,有一个固体囊性病变,有化和带肌参与.
- FNAC建议皮肤状腺癌.
- 手术后的组织病理学证实了由甲状腺结晶管道囊引起的乳头癌.
结论:
- 虽然很少见,但在甲状腺通道囊内的恶性瘤应在中线部质量的差异诊断中考虑.
- 多模式成像 (超声波,CECT) 对于病变的表征至关重要.
- 组织病理学分析仍然是最终诊断的黄金标准.
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