甲状腺癌手术后 30 年诊断为孤立性肺转移。

Solitary lung metastasis diagnosed 30 years after surgery for thyroid cancer.

机构信息

Department of Chest Surgery, NHO Okayama Medical Center, Okayama, Japan.

出版信息

Ann Thorac Surg. 2009 Dec;88(6):2016-7. doi: 10.1016/j.athoracsur.2009.04.134.

DOI:10.1016/j.athoracsur.2009.04.134

PMID:19932283

Abstract

A 75-year-old woman with a history of extrapulmonary malignancies (ie, thyroid cancer and colon cancer) underwent a lobectomy for a solitary nodule in the left lung. Pathologic examination showed a lung metastasis from papillary thyroid cancer treated 30 years earlier. Solitary metastasis to the lung from thyroid cancer is unusual, and our case presented the long interval from initial treatment to the identification of metastasis. A careful follow-up is mandatory, and one should keep in mind the delayed metastasis in the patient with differentiated thyroid cancer.

摘要

一位 75 岁女性，有肺外恶性肿瘤（如甲状腺癌和结肠癌）病史，因左肺单发结节行肺叶切除术。病理检查显示 30 年前治疗的甲状腺乳头状癌肺转移。甲状腺癌孤立性肺转移不常见，本例从初始治疗到发现转移的间隔时间很长。必须进行仔细的随访，对于分化型甲状腺癌患者，应注意其延迟转移。