Yang Wanding, Cho WaiSum, Das Sudip, Conboy Peter
Department of Otorhinolaryngology, Head and Neck Surgery, Leicester Royal Infirmary, Infirmary Square, LE1 5WW, UK
Department of Otorhinolaryngology, Head and Neck Surgery, Leicester Royal Infirmary, Infirmary Square, LE1 5WW, UK.
J Surg Case Rep. 2017 Jan 19;2017(1):rjx002. doi: 10.1093/jscr/rjx002.
Differentiated carcinomas of the thyroid gland usually have a good prognosis with prognosis often discussed in terms of 20 year survival. Nevertheless its 10-year-survival rate decreases when accompanied by distant metastasis. Follicular thyroid cancer (FTC) is the second most common thyroid cancer and usually presents with a solitary thyroid nodule with or without cervical lymphadenopathy. Distance metastasis at initial diagnosis is seldom observed with incidence range from 1 to 9%. In cases of bone metastasis, the incidence is only 2-3% and weight-bearing skeleton is preferentially affected. In our case, we present a patient with FTC that metastasized to the upper limb causing severe pain and pathological fracture at the initial presentation.
甲状腺分化型癌通常预后良好，其预后常以20年生存率来讨论。然而，当伴有远处转移时，其10年生存率会降低。滤泡状甲状腺癌（FTC）是第二常见的甲状腺癌，通常表现为单个甲状腺结节，伴有或不伴有颈部淋巴结病。初诊时很少观察到远处转移，发生率为1%至9%。在骨转移的病例中，发生率仅为2%至3%，负重骨骼更易受累。在我们的病例中，我们报告了一名患有FTC的患者，其在初次就诊时转移至上肢，导致严重疼痛和病理性骨折。
