Kimario Olivia Michael, Ngoya Patric, Otman Osca, Washington Leonard, Massenga Alicia, Abraham ZephaniaSaitabau
Department of Otorhinolaryngology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Department of Radiology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Int J Surg Case Rep. 2021 Dec;89:106615. doi: 10.1016/j.ijscr.2021.106615. Epub 2021 Nov 22.
Thyroid carcinoma is uncommon in our geographical setting. When it occurs the leading histological type is papillary thyroid carcinoma followed by follicular thyroid carcinoma which are differentiated thyroid carcinomas. Differentiated thyroid carcinomas usually have a good prognosis as compared to undifferentiated thyroid carcinomas. Follicular Thyroid Carcinoma usually presents with a solitary thyroid nodule with or without cervical lymphadenopathy. We present a 57 year old female with history of anterior neck swelling for 5 years and inability to walk using the left lower limb for 2 years. Total thyroidectomy and modified neck dissection was done. Histopathology results revealed follicular thyroid carcinoma. Patient was received radiochemotherapy treatment post-surgery. Follicular thyroid carcinoma may present with a symptomatic distant metastatic bony lesion as presented. It is important for clinicians to be aware this and carry out confirmatory relative investigations.
在我们所处的地区，甲状腺癌并不常见。当它发生时，主要的组织学类型是乳头状甲状腺癌，其次是滤泡状甲状腺癌，它们均为分化型甲状腺癌。与未分化型甲状腺癌相比，分化型甲状腺癌通常预后良好。滤泡状甲状腺癌通常表现为单个甲状腺结节，伴有或不伴有颈部淋巴结肿大。我们报告一例57岁女性，有5年前颈部前方肿胀病史，2年前无法使用左下肢行走。行甲状腺全切除术和改良颈部淋巴结清扫术。组织病理学结果显示为滤泡状甲状腺癌。患者术后接受了放化疗。滤泡状甲状腺癌可能会出现如本文所述的有症状的远处转移性骨病变。临床医生了解这一点并进行相关的确诊检查很重要。
