全甲状腺切除术后12年发生的滤泡性甲状腺癌足跟转移
Calcaneus Metastasis from Follicular Thyroid Carcinoma 12 Years after Total Thyroidectomy.
作者信息
Rahal Mohammad Jawad H, Karam Karam M, Nasser Selim M, Daher Jihad A, Abdel Nour Hicham G, Nehme Alexandre H, Moucharafieh Ramzi C
机构信息
Department of Orthopedic Surgery and Traumatology, Clemenceau Medical Center Affiliated With Johns Hopkins International, Clemenceau, Beirut, Lebanon.
Department of Orthopedic Surgery and Traumatology, Saint George University Medical Center, Balamand University, P.O. Box 166378, Achrafieh, Beirut 1100 2807, Lebanon.
出版信息
Case Rep Orthop. 2018 Aug 29;2018:5281452. doi: 10.1155/2018/5281452. eCollection 2018.
We report the case of a sixty-eight-year-old female patient who presented for left ankle pain; X-rays and MRI showed a benign calcaneal cyst, found to be delayed distant metastasis from primary papillary thyroid carcinoma. Patient required surgical excision of the cyst. Results of histological examination showed metastatic papillary thyroid carcinoma. The patient underwent total thyroidectomy 12 years prior to presentation, with the same pathology. Postoperatively, she was treated with radioactive iodine. At 10-year follow-up post calcaneal mass excision, she was found to have a right proximal tibial mass and found to be recurrent with the same pathology. This case reports a rare condition that will be taken into consideration in bone metastasis with thyroid cancer.
我们报告了一例68岁女性患者，她因左脚踝疼痛前来就诊；X线和磁共振成像（MRI）显示为良性跟骨囊肿，结果发现是原发性甲状腺乳头状癌的远处转移延迟所致。患者需要对囊肿进行手术切除。组织学检查结果显示为转移性甲状腺乳头状癌。该患者在就诊前12年接受了全甲状腺切除术，病理结果相同。术后，她接受了放射性碘治疗。在跟骨肿物切除术后10年的随访中，发现她右胫骨近端有肿物，病理结果显示为相同疾病的复发。本病例报告了一种罕见情况，在甲状腺癌骨转移时应予以考虑。
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