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罕见的甲状腺乳头状癌顶骨转移病例报告

Unusual case of parietal metastasis from papillary thyroid carcinoma: a case report.

机构信息

Pathology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Pathology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco.

出版信息

Pan Afr Med J. 2022 Jul 5;42:176. doi: 10.11604/pamj.2022.42.176.34823. eCollection 2022.

Abstract

Parietal metastasis is a very rare secondary location of papillary thyroid carcinoma. It associated with poor prognosis. We report a case of a 61-year-old woman with parietal metastasis from papillary thyroid carcinoma. The patient presented a parietal nodule on the back. In her past history, she had been diagnosed papillary thyroid carcinoma after total thyroidectomy and also reoperated for local recurrence. The CT scan performed has revealed metastasis to the lungs, bones, lymph nodes and adrenal glands. The parietal nodule was excised and submitted for histopathological examination. The histologic and immunohistochemical findings confirmed the thyroid origin. Although papillary thyroid carcinoma is a relatively indolent tumour, it can exhibit an unusual metastatic behaviour.

摘要

顶骨转移是甲状腺乳头状癌非常罕见的继发部位。它与不良预后相关。我们报告了一例 61 岁女性患有甲状腺乳头状癌顶骨转移。患者背部出现顶骨结节。在她的既往病史中,她曾因甲状腺全切术后和局部复发而被诊断为甲状腺乳头状癌,并再次手术。进行的 CT 扫描显示转移到肺部、骨骼、淋巴结和肾上腺。切除顶骨结节并进行组织病理学检查。组织学和免疫组织化学检查结果证实了甲状腺来源。尽管甲状腺乳头状癌是一种相对惰性的肿瘤,但它可能表现出不寻常的转移行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/887d/9482239/632ba1c711c2/PAMJ-42-176-g001.jpg

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