Knight James, Kingham Matthew, Price Sally-Ann, Bodi Istvan, Lavrador Jose Pedro
Department of Neurosurgery, King's College Hospital, London, SE5 9RS, UK.
GKT School of Medical Education, King's College London, London, SE1 1UL, UK.
J Surg Case Rep. 2022 May 31;2022(5):rjac215. doi: 10.1093/jscr/rjac215. eCollection 2022 May.
Papillary thyroid carcinoma (PTC) is the most common malignancy originating from the thyroid, with a good overall prognosis. However, distant metastasis of such lesions is very rare, with the brain being an incredibly uncommon site for secondary spread. The authors report a case of PTC brain metastasis 17-years after successful treatment of the primary malignancy, with no local or locoregional recurrence. Initial diagnostic uncertainty necessitated the involvement of a multidisciplinary team, and eventually the patient underwent image-guided gross surgical resection with intraoperative neuromonitoring (IOMN).
甲状腺乳头状癌（PTC）是最常见的起源于甲状腺的恶性肿瘤，总体预后良好。然而，此类病变的远处转移非常罕见，脑是极其罕见的继发性扩散部位。作者报告了1例原发性恶性肿瘤成功治疗17年后发生PTC脑转移的病例，无局部或区域复发。最初的诊断不确定性需要多学科团队参与，最终患者接受了术中神经监测（IOMN）下的影像引导大体手术切除。
