Calderón-Garcidueñas A L, González-Schaffinni M A, Farías-García R, Rey-Laborde R
Departamento de Anatomía Patológica, Hospital de Especialidades 25, Av. Lincoln y Gonzalitos, Monterrey, Nuevo León.
Gac Med Mex. 2001 Jul-Aug;137(4):357-60.
Thyroid follicular carcinoma is able to produce metastatic lesions before the vanishing of the primary lesion. We present a case of a woman with a lytic, solitary, asymptomatic parietal bone lesion of 2 years of evolution. Autopsy revealed a thyroid gland with two small cystic areas and renal metastasis. Thyroid carcinoma should be included in the differential diagnosis in cases of lytic bone lesions with long evolution in patients 60 years of age or older.
甲状腺滤泡癌在原发灶消失之前就能产生转移灶。我们报告一例60岁以上女性患者,其顶骨有一个溶解性、孤立性、无症状病灶,病程2年。尸检发现甲状腺有两个小囊性区域及肾转移。对于60岁及以上患者长期存在的溶解性骨病灶,鉴别诊断时应考虑甲状腺癌。