Perrin C, Floquet J, André J M
Ann Otolaryngol Chir Cervicofac. 1977 Dec;94(12):725-9.
The authors report the case of a 58-year-old woman suffering from an intra-thyroid metastasis of a carcinoma of the colon for which she had undergone surgery two and a half years previously. This adenocarcinoma was, furthermore, clinically and radiologically "cured". The metastasis was accompanied by a cervical swelling and paralysis of the left recurrent laryngeal nerve, the reason for the consultation. Subsequent examinations revealed multiple lung metastases. Despite combined treatment with radiotherapy and chemotherapy, there was later development of further multiple metastases, in particular cerebral. The authors review the literature concerning this type of tumour. Particular emphasis is placed upon tumours with a high malignant potential, such as the naevo-carcinoma, together with tumours of neighbouring structures, in particular the upper airway and digestive tract, all of which may spread to the thyroid. There have nevertheless been other cases of thyroid metastasis of a carcinoma of the colon. One of the very first was that of Rankin and Fortune, published in 1936.
作者报告了一例58岁女性病例,该患者患有结肠癌的甲状腺内转移,两年半前她因结肠癌接受了手术。此外,这种腺癌在临床和放射学上已“治愈”。此次转移伴有颈部肿胀和左侧喉返神经麻痹,这也是患者前来就诊的原因。后续检查发现了多处肺转移。尽管进行了放疗和化疗联合治疗,但后来又出现了更多的转移,尤其是脑转移。作者回顾了有关这类肿瘤的文献。特别强调了具有高恶性潜能的肿瘤,如痣样癌,以及邻近结构的肿瘤,尤其是上呼吸道和消化道的肿瘤,所有这些肿瘤都可能转移至甲状腺。不过,此前也有其他结肠癌甲状腺转移的病例。最早的病例之一是1936年Rankin和Fortune报道的。