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滤泡性甲状腺癌的罕见表现:慢性背痛何时应引起警惕。

UNCOMMON PRESENTATION OF FOLLICULAR THYROID CARCINOMA: WHEN CHRONIC BACK PAIN SHOULD RAISE A FLAG.

作者信息

Alvarado Milliette, Ramirez Margarita, Lopez Liurka, Marcos-Martinez Maria J, Saavedra Fanor M, Negron-Rivei Juan C, Agosto Marielba, Martinez Meliza, Gonzalez Rafael, Allende-Vigo Myriam

出版信息

Bol Asoc Med P R. 2014;106(4):22-5.

Abstract

Follicular thyroid carcinoma is the second most common type of thyroid cancer, and its incidence has increased dramatically in recent years. Although it typically presents as a thyroid nodule, it can spread to distant sites via hematogenous dissemination. Spinal cord compression complicating thyroid carcinoma is rare with only few cases reported in the literature. This case illustrates a minimally invasive follicular carcinoma that showed such an aggressive behavior, and thus the importance of considering metastatic thyroid carcinoma in the differential diagnosis of chronic back pain, which may possibly progress to spinal cord compression carrying severe morbidity.

摘要

滤泡状甲状腺癌是第二常见的甲状腺癌类型,近年来其发病率急剧上升。虽然它通常表现为甲状腺结节,但可通过血行播散转移至远处部位。甲状腺癌并发脊髓压迫症较为罕见,文献中仅有少数病例报道。本病例展示了一种具有侵袭性行为的微小浸润性滤泡癌,因此在慢性背痛的鉴别诊断中考虑转移性甲状腺癌的重要性,因为其可能进展为脊髓压迫症并带来严重的发病率。

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