Yunta P J, Ponce J L, Prieto M, López-Aznar D, Sancho-Fornos S
Service de Chirurgie, Hôpital Universitaire, La Fe, Avda. Campanar 21, 46009 Valencia, Espagne.
Ann Endocrinol (Paris). 2001 Jun;62(3):226-9.
Follicular thyroid carcinoma typically manifests under euthyroid conditions, and diagnostic scintigraphy usually identifies a cold nodule. Sometimes, such tumors can appear in the context of hyperthyroidism, which can be caused by a toxic multinodular goitre, a toxic adenoma, or even carcinoma. We report a case of follicular thyroid carcinoma discovered after surgical treatment of a toxic multinodular goiter, in which solitary adrenal gland metastasis was detected five years later. A (131)I whole body scan is the diagnostic method of choice for functioning thyroid metastasis.
滤泡状甲状腺癌通常在甲状腺功能正常的情况下出现，诊断性闪烁扫描通常会发现一个冷结节。有时，此类肿瘤可在甲状腺功能亢进的背景下出现，其病因可能是毒性多结节性甲状腺肿、毒性腺瘤，甚至是癌。我们报告一例在毒性多结节性甲状腺肿手术治疗后发现的滤泡状甲状腺癌病例，该病例在五年后检测到孤立性肾上腺转移。碘-131全身扫描是功能性甲状腺转移的首选诊断方法。
