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甲状腺癌卵巢转移:一例报告及文献复习

Ovarian metastasis from thyroid carcinoma: a case report and literature review.

作者信息

Corrado Giacomo, Pomati Giulia, Russo Andrea, Visca Paolo, Vincenzoni Cristina, Patrizi Lodovico, Vizza Enrico

机构信息

Department of Oncological Surgery, Gynecologic Oncology Unit, "Regina Elena" National Cancer Institute, Via Elio Chianesi 53, 00144, Rome, Italy.

Surgery Department, Gynecology Section and Obstetrics, Tor Vergata University, Rome, Italy.

出版信息

Diagn Pathol. 2014 Oct 30;9:193. doi: 10.1186/s13000-014-0193-9.

Abstract

BACKGROUND

Papillary thyroid carcinoma is rarely associated with metastatic disease. The most common sites of metastasis are the lungs and bones, while only few cases of ovarian metastasis are described in literature.

CASE

We report the case of a 51 years old woman, treated 9 years before for papillary thyroid carcinoma, presenting to our Institute with a pelvic ovarian mass revealed by ultrasound imaging. After bilateral salpingo-oophorectomy, the histologic examination detected a left ovarian metastasis from papillary thyroid carcinoma.

CONCLUSION

Even if the diagnosis of ovarian metastasis from thyroid carcinoma is often controversial, it should be considered when a woman with an ovarian lesion of unknown origin, has a personal history of malignant thyroid disease.

VIRTUAL SLIDES

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_193.

摘要

背景

甲状腺乳头状癌很少伴有转移性疾病。最常见的转移部位是肺和骨,而文献中仅描述了少数卵巢转移病例。

病例

我们报告一例51岁女性病例,该患者9年前因甲状腺乳头状癌接受治疗,此次因超声成像发现盆腔卵巢肿物前来我院就诊。双侧输卵管卵巢切除术后,组织学检查发现左侧卵巢为甲状腺乳头状癌转移灶。

结论

即使甲状腺癌卵巢转移的诊断常常存在争议,但当患有不明来源卵巢病变的女性有甲状腺恶性疾病个人史时,仍应考虑该诊断。

虚拟切片

本文的虚拟切片可在此处找到:http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_193

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceb1/4220057/d94d656f8ff7/13000_2014_193_Fig1_HTML.jpg

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