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中央气道异位甲状腺癌伴正常位置的甲状腺肿:病例报告。

Ectopic thyroid carcinoma in central airway with normally located goiterous thyroid gland: A case report.

机构信息

Respiratory Department, Tianjin Medical University General Hospital, Tianjin, 300052, China.

出版信息

BMC Pulm Med. 2024 Nov 22;24(1):579. doi: 10.1186/s12890-024-03395-x.

DOI:10.1186/s12890-024-03395-x
PMID:39578770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11583457/
Abstract

BACKGROUND

Ectopic thyroid tissue is a developmental disorder and is extraordinarily rare to occur in the central airway. To our knowledge, nearly few reports of primary ectopic thyroid carcinoma in the central airway with a normal eutopic thyroid gland have been published to date. This is the second case about malignant central airway obstruction caused by primary ectopic thyroid carcinoma.

CASE PRESENTATION

65-year-old male was admitted to hospital for coughing accompanied by wheezing that recent exacerbated at night.The chest computed tomography scan revealed a soft tissue-density mass within the central trachea.The mass was removed and pathological analysis showed that it was ectopic thyroid carcinoma surprisingly. The goitrous thyroid gland was found in its expected location.

CONCLUSION

Ectopic thyroid carcinoma should be considered in the differential diagnosis of a pathological mass located in central airway.

摘要

背景

异位甲状腺组织是一种发育障碍,在中央气道中极为罕见。据我们所知,目前几乎没有关于正常甲状腺中央气道内原发性异位甲状腺癌的报道。这是第二例由原发性异位甲状腺癌引起的恶性中央气道阻塞的病例。

病例介绍

一名 65 岁男性因夜间咳嗽伴喘息加重而入院。胸部 CT 扫描显示中央气管内有软组织密度肿块。肿块被切除,病理分析显示令人惊讶的是异位甲状腺癌。在其预期位置发现了甲状腺肿。

结论

位于中央气道的病理性肿块,应考虑异位甲状腺癌的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/53ab9b01b389/12890_2024_3395_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/24c2c491b2df/12890_2024_3395_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/d4ed1d2fdce1/12890_2024_3395_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/559f1b909373/12890_2024_3395_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/53ab9b01b389/12890_2024_3395_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/24c2c491b2df/12890_2024_3395_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/d4ed1d2fdce1/12890_2024_3395_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/559f1b909373/12890_2024_3395_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d75/11583457/53ab9b01b389/12890_2024_3395_Fig4_HTML.jpg

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BMC Pediatr. 2023 Apr 18;23(1):178. doi: 10.1186/s12887-023-04003-3.
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Ectopic papillary thyroid carcinoma mimicking distant metastatic tissue.异位甲状腺乳头状癌酷似远处转移组织。
J Int Med Res. 2022 Sep;50(9):3000605221121968. doi: 10.1177/03000605221121968.
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Thyroid Carcinoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology.甲状腺癌临床实践指南(NCCN 指南)2022 年第 2 版。
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Benign Intratracheal Thyroid: A Systematic Review of 43 Cases With Five New Case Reports.良性气管内甲状腺:43 例系统性回顾及 5 例新病例报告。
Laryngoscope. 2021 Sep;131(9):E2609-E2617. doi: 10.1002/lary.29678. Epub 2021 Jun 29.
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Ectopic thyroid as multiple nodules in bilateral lung lobes: a case report.双侧肺叶多发结节性异位甲状腺:一例报告
Gland Surg. 2020 Jun;9(3):806-811. doi: 10.21037/gs-19-499.
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Endobronchial metastasis: an epidemiologic and clinicopathologic study of 174 consecutive cases.支气管内转移:174 例连续病例的流行病学和临床病理研究。
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