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一名43岁女性同时进行全甲状腺切除术和颈动脉体瘤切除术的病例报告。

A case report of a concomitant total thyroidectomy and carotid body tumor resection in a 43 year old female.

作者信息

Garcia-Alva Ramon, Bobadilla-Rosado Luis O, Arzola Luis H, Escobar-Preciado Monserrat, Anaya-Ayala Javier E, Hinojosa Carlos A

机构信息

Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutricion Salvador Zubirán, Mexico City, Mexico.

Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutricion Salvador Zubirán, Mexico City, Mexico.

出版信息

Int J Surg Case Rep. 2018;53:17-20. doi: 10.1016/j.ijscr.2018.10.019. Epub 2018 Oct 17.

Abstract

INTRODUCTION

Carotid body tumors (CBT) are rare neoplasms with relatively; due to their malignant potential, the indicated treatment is surgical resection. There have been described some associations of carotid body tumors with other neoplasms, however, the concomitant presentation of CBT with multinodular goiter is rarely encountered.

PRESENTATION OF CASE

We herein present the case of a 43-year old woman with the aforementioned association. As a part of the diagnostic evaluation, an ultrasound was performed, revealing both conditions simultaneously. The surgery took place with the aim of resecting both lesions during the same intervention. The patient was discharged without complications.

DISCUSSION

The concomitant presentation of goiter and carotid body tumor is rarely reported but an extended Kocher incision could be enough to an adequate exposure and same surgical procedure resection.

CONCLUSION

This case reinforce the concomitant assessment in two different pathologies. Although there is one case reported before, this case lead to improvement in the treatment of these patients.

摘要

引言

颈动脉体瘤(CBT)是一种相对罕见的肿瘤;鉴于其恶性潜能,推荐的治疗方法是手术切除。已有一些关于颈动脉体瘤与其他肿瘤相关性的报道,然而,颈动脉体瘤与多结节性甲状腺肿同时出现的情况却很少见。

病例介绍

我们在此报告一例43岁女性患有上述关联疾病的病例。作为诊断评估的一部分,进行了超声检查,同时发现了这两种病症。手术旨在在同一次干预中切除这两个病变。患者术后无并发症出院。

讨论

甲状腺肿与颈动脉体瘤同时出现的情况鲜有报道,但延长的科赫尔切口可能足以充分暴露并进行相同的手术切除程序。

结论

该病例强调了对两种不同病理状况进行联合评估的重要性。尽管之前已有一例报道,但该病例仍为这些患者的治疗带来了改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f23a/6205148/d445d620ffdf/gr1.jpg

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