孤立性甲状腺转移瘤提示为未知的肺腺癌：一例报告
Isolated thyroid metastasis revealed an unknown lung adenocarcinoma: a case report.
作者信息
Khalil J, Elomrani F, Benoulaid M, Elkacemi H, Kebdani T, Errihani H, Benjaafar N
机构信息
Radiation oncology department, National Institute of oncology, Mohamed V University, Rabat, Morocco.
Medical oncology department, Mohamed V University, Rabat, Morocco.
出版信息
J Med Case Rep. 2015 Sep 27;9:221. doi: 10.1186/s13256-015-0663-z.
INTRODUCTION
Cancer metastasis to the thyroid is extremely rare. The most common sites that have been reported to metastasize to the thyroid gland are breast and kidney. As to primary lung cancer metastasizing to the thyroid gland, only a few cases have been described in the literature.
CASE PRESENTATION
We report a case of a 37-year-old white Arabian woman who had never smoked tobacco products for whom a malignant thyroid mass revealed a primary lung tumor. She had a surgical excision for both the thyroid and the pulmonary tumors, and received adjuvant chemotherapy. At 1 year, she is still in remission.
CONCLUSIONS
Our case is rare as it describes a case where the thyroid lesion was the revealing sign of an unknown lung carcinoma. Management of thyroid metastases should depend on the individual situation and surgical excision should be proposed whenever a patient's condition is favorable.
引言
癌症转移至甲状腺极为罕见。据报道，转移至甲状腺最常见的原发部位是乳腺和肾脏。至于原发性肺癌转移至甲状腺，文献中仅描述了少数病例。
病例介绍
我们报告一例37岁从未吸食烟草制品的白种阿拉伯女性病例，其甲状腺恶性肿块经检查发现为原发性肺部肿瘤。她接受了甲状腺和肺部肿瘤的手术切除，并接受了辅助化疗。一年后，她仍处于缓解期。
结论
我们的病例较为罕见，因为它描述了甲状腺病变是未知肺癌的首发症状的情况。甲状腺转移瘤的治疗应根据个体情况而定，只要患者情况允许，就应考虑手术切除。
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