一名患有格雷夫斯病的患者发生了许特莱细胞癌。
Hürthle cell carcinoma in a patient with Graves' Disease.
作者信息
Carmichael Kim A
机构信息
Division of Endocrinology, Metabolism and Lipid Research, Department of Internal Medicine, Washington University School of Medicine, USA.
出版信息
Mo Med. 2009 Sep-Oct;106(5):366-8.
Hürthle cell, a rare form of thyroid carcinoma, has been reported only five times in patients with Grave's Disease. We present a case report and comprehensive review of the literature. Surgery should be considered in patients with both Graves' Disease and an expanding goiter. Initial high-dose radioiodine should be administered post-operatively in patients with Hürthle cell carcinoma. Serum thyroglobulin and 18-FDG total body PET imaging may be valuable in discovering residual or recurrent disease.
许特莱细胞是甲状腺癌的一种罕见形式，仅在5例格雷夫斯病患者中被报道过。我们现报告一例病例并对文献进行全面综述。格雷夫斯病合并甲状腺肿大增大的患者应考虑手术治疗。许特莱细胞癌患者术后应给予初始大剂量放射性碘治疗。血清甲状腺球蛋白和18氟脱氧葡萄糖全身PET成像在发现残留或复发性疾病方面可能有价值。
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