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原发性甲状腺平滑肌肉瘤:诊断与治疗的挑战

Primary thyroid leiomyosarcoma: a diagnostic and therapeutic challenge.

作者信息

Bashir Mohammed Talha, Bradish Tom, Rasul Usman, Shakeel Muhammad

机构信息

School of Medicine, University of Aberdeen, Aberdeen, UK.

Department of Otorhinolaryngology, Head and Neck surgery, Aberdeen Royal Infirmary, Aberdeen, UK

出版信息

BMJ Case Rep. 2021 Apr 28;14(4):e236399. doi: 10.1136/bcr-2020-236399.

Abstract

Leiomyosarcoma is a malignant mesenchymal tumour of smooth muscle origin. It is extremely rare as a primary thyroid cancer with only 33 cases previously described in the literature. We present the case of a 69-year-old Caucasian man who presented with a 5-month history of left cervical lymphadenopathy and a suspicious mass in the left thyroid lobe on ultrasound scan. Left hemithyroidectomy confirmed the diagnosis of leiomyosarcoma. A review of current understanding and approaches to management of this rare condition are discussed.

摘要

平滑肌肉瘤是一种起源于平滑肌的恶性间叶肿瘤。作为原发性甲状腺癌极为罕见,此前文献中仅描述过33例。我们报告一例69岁的白种男性患者,其有5个月的左颈部淋巴结病病史,超声检查发现左甲状腺叶有可疑肿块。左侧甲状腺叶切除术确诊为平滑肌肉瘤。本文讨论了对这种罕见疾病的当前认识和治疗方法。

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本文引用的文献

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Huge primary leiomyosarcoma of the thyroid gland.
Ear Nose Throat J. 2018 Oct-Nov;97(10-11):347-348.
6
Primary leiomyosarcoma of thyroid gland: the youngest case.甲状腺原发性平滑肌肉瘤:最年轻的病例。
Pan Afr Med J. 2017 Mar 1;26:113. doi: 10.11604/pamj.2017.26.113.11472. eCollection 2017.
9
Thyroid leiomyosarcoma: presentation of two cases and review of the literature.甲状腺平滑肌肉瘤:两例病例报告及文献复习
Braz J Otorhinolaryngol. 2016 Nov-Dec;82(6):715-721. doi: 10.1016/j.bjorl.2015.11.020. Epub 2016 Mar 29.
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Guidelines for the management of thyroid cancer.甲状腺癌管理指南。
Clin Endocrinol (Oxf). 2014 Jul;81 Suppl 1:1-122. doi: 10.1111/cen.12515.

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