口腔癌切除标本中的一项意外发现：病例报告。
An unexpected finding in the resection specimen of a carcinoma of the oral cavity: A case report.
作者信息
Olthof D C, Bun R J, Dutrieux R P, Houdijk A P J
机构信息
Department of Surgery, Medical Center Alkmaar, Postbus 501, 1800 AM Alkmaar, The Netherlands.
Department of Head and Neck surgery, Medical Center Alkmaar, Postbus 501, 1800 AM Alkmaar, The Netherlands.
出版信息
Int J Surg Case Rep. 2016;19:55-9. doi: 10.1016/j.ijscr.2015.12.013. Epub 2015 Dec 17.
INTRODUCTION
The occurrence of two synchronous, primary cancers is rare. Thyroid carcinoma is incidentally found in the resection specimen after surgery for head and neck cancer in 0.3-1.9% of the patients.
PRESENTATION OF CASE
In this report, we describe the case of a 72-year-old patient in whom a primary (synchronous) papillary thyroid carcinoma was found coincidentally upon pathologic examination of lymph nodes recovered from the cervical neck lymph node dissection specimen after a 'commando' procedure for carcinoma of the oral cavity.
DISCUSSION AND CONCLUSION
There is no gold standard concerning treatment of the incidentally discovered thyroid gland carcinoma. The decision to perform surgery depends on the life expectancy of the patient, whether the thyroid gland demonstrates clinical or radiologic lesions, the already completed treatment for the head and neck cancer and should always be adjusted to the specific patient.
引言
同时发生两种原发性癌症的情况很罕见。在头颈部癌手术后的切除标本中，偶然发现甲状腺癌的患者占0.3%-1.9%。
病例介绍
在本报告中，我们描述了一名72岁患者的病例，该患者在接受口腔癌“根治性颈清扫术”后，对颈部淋巴结清扫标本中的淋巴结进行病理检查时，意外发现了原发性（同步性）乳头状甲状腺癌。
讨论与结论
对于偶然发现的甲状腺癌，目前尚无金标准的治疗方法。是否进行手术的决定取决于患者的预期寿命、甲状腺是否有临床或放射学病变、头颈部癌已完成的治疗情况，并且应始终根据具体患者进行调整。
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