[甲状舌管囊肿中的乳头状甲状腺癌：原发性肿瘤还是转移瘤？]

[Papillary thyroid carcinoma in a thyroglossal duct cyst: primary tumor or metastasis?].

作者信息

Hofmann V, Kösling S, Thanh P N, Holzhausen H-J, Bloching M

机构信息

Klinik und Poliklinik für Hals-, Nasen-, Ohren-Heilkunde, Kopf- und Halschirurgie, Martin-Luther-Universität Halle-Wittenberg, Halle/Saale, Germany.

出版信息

HNO. 2009 Jul;57(7):719-24. doi: 10.1007/s00106-007-1569-x.

DOI:10.1007/s00106-007-1569-x

PMID:17431562

Abstract

Thyroglossal duct cysts are the most common anomaly in thyroid development. The occurrence of carcinoma in a cyst is reported to be about 1% of cases. Histopathological examinations reveal a papillary thyroid carcinoma in about 94% of these. We report the case of 38-year-old female having a massive, cervical cystic mass over a period of 18 months. An ectopic papillary thyroid carcinoma was diagnosed. A total thyoidectomy and bilateral neck dissection were performed. This revealed a small thyroid carcinoma and three positive lymphatic nodes. Whether the cystic carcinoma is the primary or a metastasis of the thyroid carcinomais discussed.

摘要

甲状舌管囊肿是甲状腺发育过程中最常见的异常情况。据报道，囊肿内发生癌变的病例约占1%。组织病理学检查显示，其中约94%为乳头状甲状腺癌。我们报告一例38岁女性，在18个月的时间里颈部出现一个巨大的囊性肿块。诊断为异位乳头状甲状腺癌。进行了甲状腺全切术和双侧颈部淋巴结清扫术。结果发现一个小的甲状腺癌和三个阳性淋巴结。本文讨论了囊性癌是原发性甲状腺癌还是甲状腺癌转移灶的问题。