Iesalnieks I, Woenckhaus M, Glockzin G, Schlitt H J, Agha A
Klinik und Poliklinik für Chirurgie, Universitätsklinikum Regensburg.
Zentralbl Chir. 2006 Jun;131(3):235-9. doi: 10.1055/s-2006-933468.
Clinically significant, solitary metastasis to the thyroid gland is a rare occurrence. The clear cell carcinoma of the kidney (RCC) is the most common primary tumor site. Late recurrence is a notable feature of renal carcinoma. Solitary metastases in the thyroid gland occur as late as 100-120 months from the date of nephrectomy. There is a clear survival benefit in selected cases if surgical approach to the thyroid metastases is chosen. In those patients who have undergone complete resection, 5-year-survival-rates of 50 % have been reported. We describe 3 cases of surgically treated thyroid metastases of RCC, and review the literature.
临床上具有显著意义的甲状腺孤立性转移很少见。肾透明细胞癌(RCC)是最常见的原发肿瘤部位。晚期复发是肾癌的一个显著特征。甲状腺孤立性转移发生在肾切除术后100 - 120个月。如果选择手术治疗甲状腺转移灶,部分病例有明显的生存获益。在那些接受了完整切除的患者中,据报道5年生存率为50%。我们描述了3例接受手术治疗的RCC甲状腺转移病例,并对文献进行了综述。