Chakroborty D K, Bhattacharjee P K, Ray D, Haldar Shyamal
Department of Surgery, BS Medical College, Bankura.
J Indian Med Assoc. 2003 May;101(5):316-7.
A 65 years old lady presented with a large thyroid swelling along with a soft, non-tender mass over the left parietal region and a small, hard, non-tender swelling over the volar aspect of right forearm. FNAC reports from the thyroid gland and the swellings over head and forearm all revealed features of follicular neoplasm. Excision biopsy of the forearm swelling showed histology of metastatic poorly differentiated follicular adenocarcinoma of thyroid. The patient underwent total thyroidectomy followed by excision of the mass over the head, a week later. She was discharged in favourable condition with advice to attend oncology department for subsequent management. She is yet to attend surgical outdoor for follow-up.
一位65岁女性患者，甲状腺肿大明显，左侧顶叶区域有一个柔软、无压痛的肿块，右前臂掌侧有一个小的、坚硬、无压痛的肿块。甲状腺及头部和前臂肿块的细针穿刺抽吸活检（FNAC）报告均显示为滤泡性肿瘤特征。前臂肿块切除活检显示为甲状腺转移性低分化滤泡性腺癌组织学表现。患者先接受了甲状腺全切术，一周后又切除了头部肿块。她出院时情况良好，并被告知前往肿瘤科进行后续治疗。她尚未到外科门诊进行随访。
