Nakamura S, Ishiyama M, Sugimoto M, Kosaka J, Watanabe H, Horiya Y, Hara S, Shima H
Department of Internal Medicine, Gifu Red Cross Hospital, Japan.
Endocrinol Jpn. 1991 Aug;38(4):351-6. doi: 10.1507/endocrj1954.38.351.
A 63-year-old housewife with a history of partial thyroidectomy was referred to our hospital because of a neck mass and abdominal tumor. Aspiration biopsy of the neck tumor revealed the recurrence of papillary thyroid carcinoma. Magnetic resonance imaging (MRI) of the abdomen and urinary and plasma catecholamine levels indicated that the tumor beside the abdominal aorta was an extraadrenal pheochromocytoma. Two tumors were excised and histologic studies confirmed the diagnosis. So far two cases of extraadrenal pheochromocytoma with papillary thyroid carcinoma have been reported. The present case indicates that the presence of papillary thyroid carcinoma should be considered in patients with extraadrenal pheochromocytoma.
一名63岁有部分甲状腺切除术病史的家庭主妇因颈部肿块和腹部肿瘤被转诊至我院。颈部肿瘤的穿刺活检显示为甲状腺乳头状癌复发。腹部磁共振成像(MRI)以及尿液和血浆儿茶酚胺水平表明,腹主动脉旁的肿瘤是肾上腺外嗜铬细胞瘤。切除了两个肿瘤,组织学研究证实了诊断。迄今为止,已报道了两例肾上腺外嗜铬细胞瘤合并甲状腺乳头状癌的病例。本病例表明,肾上腺外嗜铬细胞瘤患者应考虑存在甲状腺乳头状癌。