Yoshida A, Imamura A, Tanaka H, Hirano M, Kamma H, Ueno E, Ushio H, Aiyoshi Y, Soeda S
Department of Surgery, University of Tsukuba, Japan.
Jpn J Surg. 1989 Jul;19(4):480-4. doi: 10.1007/BF02471632.
Metastatic tumors in the thyroid gland are rarely seen in clinical practice. This report describes a case of metastasis from gastric cancer to the thyroid, found five years after removal of the primary gastric lesion. The patient had a large thyroid mass extending to the mediastinum, but there were no obvious metastatic lesions anywhere except in the thyroid. Subtotal thyroidectomy was performed and histological examination revealed the same findings a those of the original gastric cancer. Of additional interest are the findings that led us to believe this metastatic tumor produced alpha-fetoprotein. Seven months following the operation, the patient dies suddenly and, although it is difficult to say whether the patient's survival was prolonged, we believe that the thyroid surgery gene him considerable palliation.
甲状腺转移性肿瘤在临床实践中很少见。本报告描述了一例胃癌转移至甲状腺的病例，该病例是在原发性胃部病变切除五年后发现的。患者有一个巨大的甲状腺肿物，延伸至纵隔，但除甲状腺外，其他部位均无明显转移病灶。行甲状腺次全切除术，组织学检查显示与原发性胃癌相同的结果。另外值得关注的是，这些发现使我们相信这种转移性肿瘤产生甲胎蛋白。术后七个月，患者突然死亡，虽然很难说患者的生存期是否延长，但我们认为甲状腺手术给他带来了相当程度的缓解。
