Anand Kalyan Thippeswamy, Manohar Soman Rema Krishna, Harikrishnan Sivadasanpillai, Neelakandhan Kurur Sankaran
Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Ann Thorac Surg. 2003 Jun;75(6):1969-71. doi: 10.1016/s0003-4975(02)04842-7.
A 33-year-old woman in the postpartum period presented with a mass in the right ventricular outflow tract. She underwent excision of the mass under standard cardiopulmonary bypass. Histopathologic examination of the mass revealed a metastatic lesion from the thyroid, which was follicular carcinoma of the thyroid. Later she underwent total thyroidectomy with lymph node dissection of the neck and radioactive 131I ablation for the residual tumor in the neck. At 1-year follow-up, the patient has no evidence of residual lesion in the heart, neck, or anywhere else in the body. A detailed preoperative workup could have changed the order of interventions and probably avoided a heart operation.
一名33岁的产后女性出现右心室流出道肿块。她在标准体外循环下接受了肿块切除术。肿块的组织病理学检查显示为甲状腺转移性病变，即甲状腺滤泡癌。后来她接受了全甲状腺切除术及颈部淋巴结清扫，并对颈部残留肿瘤进行了放射性碘-131消融治疗。在1年的随访中，患者心脏、颈部或身体其他任何部位均无残留病变迹象。详细的术前检查本可改变干预顺序，或许还能避免心脏手术。
