Cilengir Atilla Hikmet, Kalayci Tugce Ozlem, Duygulu Gokhan, Rezanko Turkan Atasever, İnci Mehmet Fatih
Department of Radiology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey.
Department of Pathology, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey.
Pol J Radiol. 2016 Dec 25;81:618-621. doi: 10.12659/PJR.899459. eCollection 2016.
Renal cell carcinoma is an interesting tumor due to its unpredictable behavior. Common metastatic sites of renal cell carcinoma are the lungs, lymph nodes, bones and liver. Concurrent thyroid metastasis of clear cell carcinoma is uncommon but it can appear as a rapidly growing cervical, painless nodular mass.
We report a case of a 56-year-old male patient with clear cell renal carcinoma confirmed on a histopathological examination. The patient noticed a rapidly growing mass in the thyroid region when receiving medical anticancer therapy. Because of that, gray-scale thyroid ultrasonography and a fine-needle aspiration biopsy were performed. The histopathological examinationof the biopsy specimen revealed a lesion composed of malignant epithelial cells compatible with metastasis of renal carcinoma.
In patients with with a history of RCC, both past and present, a thyroid mass, especially co-existing with an adenomatous goiter, should prompt a work-up for thyroid metastasis.
肾细胞癌因其行为难以预测而成为一种有趣的肿瘤。肾细胞癌常见的转移部位是肺、淋巴结、骨和肝。透明细胞癌并发甲状腺转移并不常见，但可表现为颈部迅速增大的无痛性结节肿块。
我们报告一例56岁男性患者，经组织病理学检查确诊为透明细胞肾细胞癌。该患者在接受抗癌治疗时注意到甲状腺区域有一个迅速增大的肿块。因此，进行了甲状腺灰阶超声检查和细针穿刺活检。活检标本的组织病理学检查显示病变由与肾癌转移相符的恶性上皮细胞组成。
对于有肾细胞癌病史的患者，无论过去还是现在，出现甲状腺肿块，尤其是与腺瘤性甲状腺肿并存时，应促使对甲状腺转移进行检查。
