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一例罕见的颈纵隔甲状腺畸胎瘤

A Rare Case of Cervico-Mediastinal Thyroid Teratoma.

作者信息

Nocera Adriana, Zhang Qianqian, Napolitano Antonio Giulio, Nachira Dania, Meacci Elisa

机构信息

Thoracic Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore, Roma, ITA.

Pathology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore, Roma, ITA.

出版信息

Cureus. 2024 May 3;16(5):e59560. doi: 10.7759/cureus.59560. eCollection 2024 May.

Abstract

Teratomas are rare germ cell tumors derived from multiple germinal cell layers. Thyroid teratomas, specifically, are exceptionally uncommon and present unique diagnostic and therapeutic challenges. Here, we report a case of cervico-mediastinal thyroid teratoma, highlighting diagnostic difficulties and surgical management. A 37-year-old woman presented with right lateral cervical swelling, leading to radiological imaging suggesting a thymic teratoma. However, cytology indicated a colloid cyst. Surgical removal was performed, revealing a mixed-type teratoma originating from the thyroid gland. Thyroid teratomas pose diagnostic and therapeutic challenges due to their rarity and complex nature. Further research is needed to establish standardized guidelines for their management.

摘要

畸胎瘤是源自多个生殖细胞层的罕见生殖细胞肿瘤。具体而言,甲状腺畸胎瘤极为罕见,带来了独特的诊断和治疗挑战。在此,我们报告一例颈纵隔甲状腺畸胎瘤病例,突出诊断难点和手术处理情况。一名37岁女性因右侧颈部外侧肿胀就诊,影像学检查提示为胸腺畸胎瘤。然而,细胞学检查显示为胶样囊肿。实施手术切除后,发现是起源于甲状腺的混合型畸胎瘤。甲状腺畸胎瘤因其罕见性和复杂性质而带来诊断和治疗挑战。需要进一步研究以制定其管理的标准化指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a245/11144284/44d05aa3699c/cureus-0016-00000059560-i01.jpg

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