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儿童甲状腺乳头状癌伴骨髓转移。

'Miliary metastasis' in a child with papillary thyroid cancer.

机构信息

Paediatrics and Child Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.

Pathology, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa.

出版信息

BMJ Case Rep. 2022 Jun 7;15(6):e249598. doi: 10.1136/bcr-2022-249598.

Abstract

Lung disease with diffuse nodules has a broad differential diagnosis. We present a case of childhood papillary thyroid carcinoma with diffuse lung metastases in which the diagnosis was delayed due to fact that the diffuse nodules were considered to be pathognomonic of miliary tuberculosis. Diffuse nodular lung disease in children requires a careful diagnostic approach. The role of multidisciplinary involvement in these rare cases is invaluable.

摘要

肺部弥漫性结节性疾病具有广泛的鉴别诊断。我们报告了一例儿童甲状腺乳头状癌伴弥漫性肺转移的病例,由于弥漫性结节被认为是粟粒性结核的特征性表现,导致诊断延迟。儿童弥漫性结节性肺病需要仔细的诊断方法。多学科参与在这些罕见病例中的作用是非常宝贵的。

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本文引用的文献

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Distant Metastases From Childhood Differentiated Thyroid Carcinoma: Clinical Course and Mutational Landscape.
J Clin Endocrinol Metab. 2021 Mar 25;106(4):e1683-e1697. doi: 10.1210/clinem/dgaa935.
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