Wang Meixian, Liu Xiulan, Wei Bing, Liu Nian, Li Qiyuan, Su Xueying
Department of Pathology, West China Hospital of Sichuan University, China.
Department of Pathology, The Second People's Hospital of Neijiang, Sichuan, China.
Diagn Cytopathol. 2020 May;48(5):475-478. doi: 10.1002/dc.24396. Epub 2020 Feb 17.
Mucinous breast cancer is a slow-growing neoplasm, which has fewer lymph node metastases and favorable prognosis compared with invasive breast cancer no special type. The hematogenous spread of breast mucinous carcinoma is very rare. Though breast cancer involving thyroid has been reported before, there is still no report about thyroid metastatic breast mucinous carcinoma in the literature. Recently by performing thyroid fine-needle aspiration, a 58-year-old woman who had breast cancer 13 years ago was diagnosed as thyroid metastatic mucinous breast carcinoma, cellular variant with neuroendocrine differentiation. For this patient, the thyroid was the only involved site without widespread metastatic diseases, so thyroidectomy and the right cervical lymph nodes dissection were performed to make better survival. As a result, the patient had not shown any signs of recurrence 9 months after the thyroid surgery.
黏液性乳腺癌是一种生长缓慢的肿瘤,与非特殊类型的浸润性乳腺癌相比,其淋巴结转移较少,预后良好。乳腺黏液癌的血行转移非常罕见。虽然之前已有乳腺癌累及甲状腺的报道,但文献中仍无甲状腺转移性乳腺黏液癌的报道。最近,通过甲状腺细针穿刺活检,一名13年前患乳腺癌的58岁女性被诊断为甲状腺转移性黏液性乳腺癌,为具有神经内分泌分化的细胞变异型。对于该患者,甲状腺是唯一受累部位,无广泛转移疾病,因此行甲状腺切除术及右侧颈部淋巴结清扫术以提高生存率。结果,甲状腺手术后9个月患者未出现任何复发迹象。