Kuratomi Y, Kumamoto Y, Sakai Y, Komiyama S
Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashiku, Fukuoka 812, Japan.
Eur Arch Otorhinolaryngol. 1994;251 Suppl 1:S91-4. doi: 10.1007/BF02565229.
We report a case of a carotid body tumor associated with a primary differentiated thyroid carcinoma. A 44-year-old woman presented with a 10-year history of an asymptomatic mass in her neck. Physical examination revealed a pulsatile submandibular mass in her right neck as well as multiple nodules in the thyroid. Magnetic resonance imaging, computed tomography and, in particular, angiography were diagnostic of the carotid body tumor. Slight changes in serum thyroglobulin levels and thyroid scintigraphy led us to suspect thyroid carcinoma. Embolization of the arteries feeding the carotid body tumor was performed, and was followed by tumor resection 24 h later. At surgery, histopathology confirmed the presence of follicular and papillary carcinomas of the thyroid, resulting in concurrent resection of the gland. There were no residual cranial nerve deficits. The patient subsequently received radiotherapy. Diagnosis and surgical management are discussed, together with pathogenetic factors.
我们报告一例与原发性分化型甲状腺癌相关的颈动脉体瘤。一名44岁女性，颈部有无症状肿块10年。体格检查发现右颈部有一个搏动性下颌下肿块以及甲状腺内有多个结节。磁共振成像、计算机断层扫描，尤其是血管造影诊断为颈动脉体瘤。血清甲状腺球蛋白水平的轻微变化和甲状腺闪烁显像使我们怀疑有甲状腺癌。对供应颈动脉体瘤的动脉进行了栓塞，24小时后进行了肿瘤切除。手术时，组织病理学证实存在甲状腺滤泡癌和乳头状癌，因此同时切除了甲状腺。没有残留的颅神经功能缺损。患者随后接受了放疗。本文讨论了诊断、手术管理以及发病因素。
