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甲状腺乳头状癌下颌骨转移:一例报告及系统文献综述

Mandibular metastasis of papillary thyroid carcinoma: a case report and systematic literature review.

作者信息

Shin Yootaek, Kim Hyounmin, Yang Solbin, Han Seung-Yong, Cho Eunae Sandra, Kim Dongwook, Kim Hyung Jun

机构信息

Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Korea.

Department of Oral Pathology, Yonsei University College of Dentistry, Seoul, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2025 Apr 30;51(2):73-79. doi: 10.5125/jkaoms.2025.51.2.73.

Abstract

In this paper, we systematically review the literature on papillary thyroid carcinoma (PTC) metastasis to the mandible. This is a rare oc-currence, especially in young, asymptomatic patients. We propose appropriate surgical and adjuvant therapy guidelines based on our findings. A systematic PubMed search (up to July 2023) identified 10 eligible cases of papillary or follicular thyroid carcinoma with metastasis to the mandible. Studies of patients with different histologic types or without confirmed distant metastasis were excluded. A rare case of PTC metastasizing to the mandible in a young male highlights an unusual presentation. Surgical treatment of both primary and metastatic sites, along with aggressive adjuvant therapy after surgery, had a positive impact on survival.

摘要

在本文中,我们系统地回顾了有关甲状腺乳头状癌(PTC)转移至下颌骨的文献。这是一种罕见的情况,尤其是在年轻的无症状患者中。我们根据研究结果提出了适当的手术和辅助治疗指南。通过对PubMed进行系统检索(截至2023年7月),确定了10例符合条件的乳头状或滤泡状甲状腺癌转移至下颌骨的病例。排除了不同组织学类型或未证实有远处转移的患者的研究。一名年轻男性发生PTC转移至下颌骨的罕见病例突出了一种不寻常的表现。对原发部位和转移部位进行手术治疗,以及术后积极的辅助治疗,对生存有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e6/12041427/851af01d9eb6/jkaoms-51-2-73-f1.jpg

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