• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一例甲状腺胸内滤泡癌：一种罕见的表现。

An intra-thoracic follicular carcinoma of thyroid: An uncommon presentation.

作者信息

Kant Surya, Srivastava Anand, Kumar Rahul, Verma Ajay Kumar, Mishra Anand Kumar, Husain Nuzhat

机构信息

Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Lung India. 2017 Mar-Apr;34(2):193-196. doi: 10.4103/0970-2113.201293.

DOI:10.4103/0970-2113.201293
PMID:28360474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5351368/
Abstract

Follicular carcinoma of thyroid is the second most common type of carcinoma of thyroid, and it may metastasize to bone, lung, brain, and skin. However, the initial presentation of follicular carcinoma of the thyroid as a large intrathoracic mass without any symptoms of thyroid gland enlargement and dysfunction is very rare. We hereby report a case of a 50-year-old male who presented with chief complaints of chest and low back pain. Preliminary evaluation led to the provisional diagnosis of left-sided intrathoracic mass with vertebral metastasis which was suspected to be a case of bronchogenic carcinoma with distant metastasis. Surprisingly, transthoracic biopsy and histopathology revealed metastasis from follicular carcinoma of thyroid. This prompted us for a retrograde evaluation for a primary thyroid malignancy for which an ultrasound and contrast enhanced computed tomography (CECT) of the neck was done which confirmed the presence of a solitary thyroid nodule. Ultrasonography-guided fine-needle aspiration cytology of the nodule revealed follicular carcinoma of thyroid. Histopathological evaluation subsequent to total thyroidectomy revealed follicular carcinoma thyroid, further confirming the diagnosis. The patient was then referred to Department of Nuclear Medicine and Radiotherapy for radionuclide ablation and chemotherapy. We chose to report this case because of its rare presentation as a large intrathoracic mass and the retrograde diagnosis of follicular carcinoma of thyroid. To the best of our knowledge, this is the first report of such a rare case.

摘要

甲状腺滤泡癌是甲状腺癌的第二常见类型，它可能转移至骨骼、肺、脑和皮肤。然而，甲状腺滤泡癌最初表现为巨大的胸腔内肿块，而无任何甲状腺肿大及功能障碍症状的情况非常罕见。我们在此报告一例50岁男性，其主要症状为胸痛和腰痛。初步评估导致初步诊断为左侧胸腔内肿块伴椎体转移，怀疑是一例伴有远处转移的支气管源性癌。令人惊讶的是，经胸活检和组织病理学检查显示为甲状腺滤泡癌转移。这促使我们对原发性甲状腺恶性肿瘤进行追溯评估，为此进行了颈部超声和增强计算机断层扫描（CECT），证实存在一个孤立的甲状腺结节。结节的超声引导下细针穿刺细胞学检查显示为甲状腺滤泡癌。全甲状腺切除术后的组织病理学评估显示为甲状腺滤泡癌，进一步证实了诊断。然后该患者被转诊至核医学与放疗科进行放射性核素消融和化疗。我们选择报告该病例是因为其罕见地表现为巨大的胸腔内肿块以及甲状腺滤泡癌的追溯诊断。据我们所知，这是此类罕见病例的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/6cc809c0adc8/LI-34-193-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/1d479aa7e9fe/LI-34-193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/bc49cdba7b47/LI-34-193-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/44488cbb0eb3/LI-34-193-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/4337456f8720/LI-34-193-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/0d06ff773a0d/LI-34-193-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/b2ebf6993c54/LI-34-193-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/45de5ac91f6e/LI-34-193-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/6cc809c0adc8/LI-34-193-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/1d479aa7e9fe/LI-34-193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/bc49cdba7b47/LI-34-193-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/44488cbb0eb3/LI-34-193-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/4337456f8720/LI-34-193-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/0d06ff773a0d/LI-34-193-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/b2ebf6993c54/LI-34-193-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/45de5ac91f6e/LI-34-193-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47e5/5351368/6cc809c0adc8/LI-34-193-g008.jpg

相似文献

1
An intra-thoracic follicular carcinoma of thyroid: An uncommon presentation.一例甲状腺胸内滤泡癌：一种罕见的表现。
Lung India. 2017 Mar-Apr;34(2):193-196. doi: 10.4103/0970-2113.201293.
2
Unexpected Lung and Brain Metastases 9 Years After Thyroid Lobectomy for Follicular Adenoma: A Case Report.滤泡性腺瘤甲状腺叶切除术后9年出现意外的肺和脑转移：病例报告
Front Endocrinol (Lausanne). 2019 Nov 12;10:783. doi: 10.3389/fendo.2019.00783. eCollection 2019.
3
Mixed primary squamous cell carcinoma, follicular carcinoma, and micropapillary carcinoma of the thyroid gland: A case report.甲状腺原发性混合性鳞状细胞癌、滤泡癌和微乳头状癌：一例报告
Auris Nasus Larynx. 2016 Aug;43(4):455-9. doi: 10.1016/j.anl.2015.10.011. Epub 2015 Nov 14.
4
Follicular thyroid carcinoma presenting as solitary liver metastasis: a case report.以孤立性肝转移为表现的滤泡状甲状腺癌：一例报告
J Med Case Rep. 2016 Dec 3;10(1):347. doi: 10.1186/s13256-016-1140-z.
5
[The frequency of malignant disease in cytological group of suspected cancer (ultrasound-guided fine-needle aspiration biopsy of nonpalpable thyroid nodules)].[疑似癌症细胞学组（超声引导下不可触及甲状腺结节细针穿刺活检）中恶性疾病的发生率]
Medicina (Kaunas). 2008;44(3):189-94.
6
Papillary thyroid carcinoma presenting as a primary renal tumor with multiple pulmonary and bone metastases: a case report.表现为原发性肾肿瘤伴多发肺和骨转移的甲状腺乳头状癌：一例报告
J Med Case Rep. 2019 Apr 20;13(1):95. doi: 10.1186/s13256-019-2025-8.
7
Renal Metastasis and Dual (F-Fluorodeoxyglucose and I) Avid Skeletal Metastasis in a Patient with Papillary Thyroid Cancer.一名甲状腺乳头状癌患者的肾转移及（氟代脱氧葡萄糖和碘）双亲和性骨转移
Indian J Nucl Med. 2017 Jan-Mar;32(1):50-53. doi: 10.4103/0972-3919.198482.
8
The Role of Radiotherapy in Skull Metastasis of Thyroid Follicular Carcinoma.放射治疗在甲状腺滤泡状癌颅骨转移中的作用
Klin Onkol. 2019 Summer;32(4):300-302. doi: 10.14735/amko2019300.
9
Multiple Simultaneous Rare Distant Metastases as the Initial Presentation of Papillary Thyroid Carcinoma: A Case Report.多发同时性罕见远处转移作为甲状腺乳头状癌的初始表现：一例报告
Front Endocrinol (Lausanne). 2019 Nov 8;10:759. doi: 10.3389/fendo.2019.00759. eCollection 2019.
10
Management of thyroid cancer: United Kingdom National Multidisciplinary Guidelines.甲状腺癌的管理：英国国家多学科指南
J Laryngol Otol. 2016 May;130(S2):S150-S160. doi: 10.1017/S0022215116000578.

引用本文的文献

1
The Application Value of SMI Technology and Contrast-Enhanced Ultrasound in the Differential Diagnosis of Benign and Malignant Thyroid Nodules.SMI 技术与超声造影在甲状腺良恶性结节鉴别诊断中的应用价值。
Contrast Media Mol Imaging. 2022 Aug 25;2022:6157026. doi: 10.1155/2022/6157026. eCollection 2022.

本文引用的文献

1
Unusual presentation of follicular carcinoma thyroid with special emphasis on their management.甲状腺滤泡癌的不寻常表现，特别强调其治疗。
Int J Surg Case Rep. 2014;5(7):408-11. doi: 10.1016/j.ijscr.2014.03.006. Epub 2014 May 9.
2
Brain metastasis from papillary carcinoma of thyroid gland.甲状腺乳头状癌脑转移
J Neurosci Rural Pract. 2010 Jan;1(1):55-7. doi: 10.4103/0976-3147.63109.
3
Metastatic follicular thyroid carcinoma to the mandible: a case report.下颌骨转移性滤泡状甲状腺癌：一例报告
Cases J. 2009 Apr 29;2:6533. doi: 10.1186/1757-1626-2-6533.
4
Follicular carcinoma of the thyroid with aggressive metastatic behavior in a pregnant woman: report of a case and review of the literature.
Hormones (Athens). 2006 Oct-Dec;5(4):295-302. doi: 10.14310/horm.2002.11195.
5
External beam radiotherapy for differentiated thyroid cancer.分化型甲状腺癌的外照射放疗
Am J Otolaryngol. 2006 Jan-Feb;27(1):24-8. doi: 10.1016/j.amjoto.2005.05.017.
6
Prognostic factors and the effect of treatment with radioactive iodine and external beam radiation on patients with differentiated thyroid cancer seen at a single institution over 40 years.40年来在单一机构就诊的分化型甲状腺癌患者的预后因素以及放射性碘和外照射治疗的效果。
Clin Endocrinol (Oxf). 2005 Oct;63(4):418-27. doi: 10.1111/j.1365-2265.2005.02358.x.
7
Follicular thyroid carcinomas with lung metastases: a 23-year retrospective study.
Endocr J. 2004 Apr;51(2):219-25. doi: 10.1507/endocrj.51.219.
8
Second primary malignancies in thyroid cancer patients.甲状腺癌患者的第二原发性恶性肿瘤。
Br J Cancer. 2003 Nov 3;89(9):1638-44. doi: 10.1038/sj.bjc.6601319.