Bradford Royal Infirmary, Bradford, UK.
Ann R Coll Surg Engl. 2021 Sep;103(8):e264-e265. doi: 10.1308/rcsann.2020.7091.
Papillary carcinoma is the most common type of thyroid cancer, accounting for 80-90% of cases. Distant metastasis of papillary thyroid cancer is uncommon, but when it does occur, it is most commonly to the lungs, liver and bone. Bone metastases to the mandible are rarely reported. We present a 68-year-old man who was referred due to a right parotid mass. Appropriate imaging and biopsy revealed a thyroid malignancy with bone metastases. The patient subsequently underwent thyroidectomy, with histology revealing multifocal papillary carcinoma. Radioactive iodine treatment was then commenced to control the metastatic disease.
乳头状癌是最常见的甲状腺癌类型，占病例的 80-90%。乳头状甲状腺癌的远处转移并不常见，但当发生时，最常见的转移部位是肺、肝和骨。下颌骨的骨转移很少见报道。我们报告了一名 68 岁男性，因右侧腮腺肿块就诊。适当的影像学和活检显示甲状腺恶性肿瘤伴骨转移。随后患者接受了甲状腺切除术，组织学显示多灶性乳头状癌。随后进行放射性碘治疗以控制转移性疾病。
