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男性患者乳腺软组织转移性乳头状甲状腺癌:一例报告。

Metastatic papillary thyroid carcinoma in the soft tissue of the breast in a male patient: A case report.

作者信息

Maráčková Veronika, Vomáčková Katherine, Skanderová Daniela, Mathew Eva, Urbánková Markéta, Veverková Lucia

机构信息

Department of Radiology, University Hospital Olomouc, Olomouc 77900, Czech Republic.

Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc 77515, Czech Republic.

出版信息

Oncol Lett. 2024 Dec 10;29(2):95. doi: 10.3892/ol.2024.14841. eCollection 2025 Feb.

Abstract

Papillary thyroid carcinoma (PTC) represents ~80% of all thyroid cancers, most frequently presenting in women in the third and fourth decade of life. The first clinical manifestation of PTC commonly includes a palpable mass in the thyroid area or cervical lymphadenopathy in cases of metastatic disease. Hematogenous distant metastases are a sign of an advanced stage of the tumour. The present study reported an extremely rare occurrence of solitary metastasis of a PTC in the left breast of a 63-year-old male patient, mimicking primary male breast cancer (MBC). The presence of a male breast lesion that did not follow the typical imaging criteria for MBC aroused suspicion of a different primary origin. The combination of imaging methods, laboratory findings and fine-needle aspiration techniques enabling cytological and histopathological examination, with the use of a wide panel of immunohistochemical markers, is crucial to establishing a definitive and correct diagnosis.

摘要

乳头状甲状腺癌(PTC)占所有甲状腺癌的约80%,最常见于30至40岁的女性。PTC的首发临床表现通常包括甲状腺区域可触及的肿块,或在发生转移时出现颈部淋巴结病。血行远处转移是肿瘤晚期的标志。本研究报告了一名63岁男性患者左乳出现极为罕见的PTC孤立转移,酷似原发性男性乳腺癌(MBC)。该男性乳腺病变不符合MBC的典型影像学标准,这引发了对不同原发灶的怀疑。影像学方法、实验室检查结果以及能够进行细胞学和组织病理学检查的细针穿刺技术相结合,并使用多种免疫组化标志物,对于明确和正确诊断至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d291/11653250/cd358189dffe/ol-29-02-14841-g00.jpg

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