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隐匿性甲状腺乳头状癌转移至骶骨和颅骨：一种不寻常的表现。

Occult papillary thyroid carcinoma metastasis to the sacrum and the skull: an unusual presentation.

作者信息

Jouhar Fatima S, Quadri Asif, Afandi Bachar, Al Rawi Sadir

机构信息

Department of Surgery, Division of Surgical Oncology, Tawam Hospital, Al Ain, Abu Dhabi, UAE.

出版信息

Case Rep Med. 2014;2014:516549. doi: 10.1155/2014/516549. Epub 2014 Dec 8.

DOI:10.1155/2014/516549
PMID:25544844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4273593/
Abstract

This case represents occult follicular variant of papillary thyroid carcinoma (FVPTC) with large metastasis to the sacrum. The patient, a 42-year-old female, presented after hemithyroidectomy for benign follicular adenoma with lower back pain associated with fever and sweating. A lytic lesion of the left sacral bone was found on the CT with biopsy showing metastatic carcinoma with morphology and immunophenotype of thyroid gland primary tumor proven to be FVPTC. The patient had completion thyroidectomy with benign pathology.

摘要

该病例为隐匿性滤泡型乳头状甲状腺癌（FVPTC）伴骶骨巨大转移。患者为42岁女性，因良性滤泡性腺瘤行半甲状腺切除术后出现下背部疼痛伴发热、出汗。CT检查发现左侧骶骨有溶骨性病变，活检显示为转移性癌，其形态和免疫表型证实甲状腺原发肿瘤为FVPTC。患者接受了甲状腺全切术，病理结果为良性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/b22ce1fbbccd/CRIM2014-516549.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/0a220f535045/CRIM2014-516549.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/38b13c03be74/CRIM2014-516549.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/b22ce1fbbccd/CRIM2014-516549.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/0a220f535045/CRIM2014-516549.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/38b13c03be74/CRIM2014-516549.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d523/4273593/b22ce1fbbccd/CRIM2014-516549.003.jpg

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