Kurishima Koichi, Kagohashi Katsunori, Ishibashi Atsushi, Takayashiki Norio, Satoh Hiroaki
Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, Mito, Ibaraki, Japan.
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:449-52. doi: 10.5761/atcs.cr.13-00209. Epub 2014 Feb 4.
Pulmonary metastases from thyroid cancer usually present with a micronodular or miliary pattern throughout both lungs; pulmonary metastasis with nodules measuring 10 mm in diameter is very rare. We herein present a 74-year-old woman with a history of papillary thyroid cancer treated surgically 17 years previously who presented with pulmonary metastatic nodules measuring 15 mm in diameter on chest radiography. If a pulmonary nodule or nodules are encountered in a patient with a history of thyroid cancer, though very rare, the possibility that it is a metastasis must be borne in mind.
甲状腺癌的肺转移通常表现为双肺弥漫性微结节或粟粒样改变;直径达10毫米的肺转移结节非常罕见。我们在此报告一例74岁女性,17年前因乳头状甲状腺癌接受手术治疗,此次胸部X线检查发现直径15毫米的肺转移结节。对于有甲状腺癌病史的患者,若发现肺内有结节,尽管极为罕见,但仍须考虑转移的可能性。