Ben Saad Ahmed, Mhamed Saousen Cheikh, Migaou Asma, Njima Manel, Achour Asma, Fahem Nesrine, Rouatbi Naceur, Joobeur Samah
Pulmonology Department, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Department of Pathology, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Respir Med Case Rep. 2020 May 16;30:101065. doi: 10.1016/j.rmcr.2020.101065. eCollection 2020.
Thyroid metastasis revealing a primary lung cancer is an extremely rare condition. Only few cases have been reported in the literature. A multidisciplinary approach is essential for the diagnosis. The prognosis is generally poor. We report a case of a 50-year-old man presented with cervical nodules corresponding to a thyroid nodule and lymph nodes. The ultrasonography-guided fine-needle aspiration cytology of the thyroid nodule and a cervical lymphadenopathy concluded to a poorly differentiated adenocarcinoma. Cervical lymphadenopathy biopsy with immunohistochemistry and additional imaging explorations contributed to the diagnosis of a lung adenocarcinoma stage IVB. He died few days after the diagnosis.
甲状腺转移瘤揭示原发性肺癌是一种极其罕见的情况。文献中仅报道了少数病例。多学科方法对于诊断至关重要。预后通常较差。我们报告一例50岁男性，其颈部结节对应甲状腺结节和淋巴结。甲状腺结节及颈部淋巴结病的超声引导下细针穿刺细胞学检查结果为低分化腺癌。颈部淋巴结病活检及免疫组化检查和其他影像学检查有助于诊断IVB期肺腺癌。他在诊断后几天死亡。
