Perinu G P, Paderi R, Piga A, Porcu G, Murtas M G
Oncologia Chirurgica, Ospedale Oncologico A Businco, Cagliari.
Tumori. 2003 Jul-Aug;89(4 Suppl):220-2.
We report herein the case of a 43 year-old man who was operated 1998 of left colectomy and hepatic resection for colic adenocarcinoma metastasized in the liver. He suffers of multinodular goiter from some years; was admitted to our hospital with a 2-month history of enlargement of goiter and appearance of a new nodule. Physical and imaging examinations disclosed a new nodules in the thyroid. Was operated of total thyroidectomia and lymphoadenectomia cervical in the December 2002. Hystologic examinations revealed adenocarcinoma which was consistent with a diagnosis of metastases from the primary colon adenocarcinoma to the thyroid. The rarity, diagnosis, and prognosis of thyroid metastasis from colon carcinoma are discussed.
我们在此报告一例43岁男性患者的病例,该患者于1998年接受了左半结肠切除术和肝切除术,以治疗已转移至肝脏的结肠腺癌。他患有结节性甲状腺肿多年;因甲状腺肿增大2个月并出现一个新结节而入住我院。体格检查和影像学检查发现甲状腺有一个新结节。2002年12月对其进行了甲状腺全切除术和颈部淋巴结清扫术。组织学检查显示腺癌,这与原发性结肠腺癌转移至甲状腺的诊断相符。本文讨论了结肠癌甲状腺转移的罕见性、诊断及预后。