Goatman C, Goldsmith P J, Antonopoulos V, Ali B
Department of Colorectal Surgery, North Manchester General Hospital, Delaunays Road, Crumpsall M8 5RB, UK.
Case Rep Surg. 2012;2012:179407. doi: 10.1155/2012/179407. Epub 2012 Nov 28.
Purpose. We present a rare case of colorectal metastasis to the thyroid five years following primary colonic resection. This case highlights the need to be cognisant of unusual sites of metastasis from colorectal neoplasms. Case Report. An 82-year-old male patient had a panproctocolectomy for synchronous colorectal tumours. Five years later he was found to have lung and thyroid metastases found incidentally on imaging for an acute presentation with small bowel obstruction. Conclusion. Metastases to the thyroid should be considered in the differential diagnosis of the thyroid lesion with any history of malignancy, particularly with increasing patient age and when renal cell carcinoma or lung, colon, or breast primaries are involved.
目的。我们报告一例罕见病例,患者在原发性结肠切除术后五年出现甲状腺结直肠癌转移。该病例强调了认识结直肠肿瘤不常见转移部位的必要性。病例报告。一名82岁男性患者因同时性结直肠肿瘤接受了全直肠结肠切除术。五年后,他在因小肠梗阻急性发作进行影像学检查时偶然发现有肺和甲状腺转移。结论。对于有任何恶性肿瘤病史的甲状腺病变进行鉴别诊断时,应考虑甲状腺转移,特别是在患者年龄增加以及涉及肾细胞癌或肺、结肠或乳腺原发性肿瘤时。