Muramoto M, Uchida T, Shibata Y, Kyuno H, Ishii J, Iwamura M, Mashimo S, Koshiba K, Ohbu M, Kameya T, Sugino K, Ito K
Department of Urology, Kitasato University School of Medicine, Japan.
Hinyokika Kiyo. 1996 Feb;42(2):123-5.
A case of solitary metastasis with renal cell carcinoma to the thyroid gland is presented. The patient was a 54-year-old man found to have an abnormal mass in the neck. He had a past history of radical nephrectomy orignating from the right renal cell carcinoma 5 years earlier (pT2N0M0, G2 > 3, alveolar type, clear cell subtype). Ultrasonography revealed a tumor mass in the right hemithyroid gland. Right hemithyroidectomy was performed on April 19, 1995. Histopathologically, the removed thyroid tumor showed clear cell carcinoma. The possibility of a primary thyroid tumor was ruled out by immunohistochemical thyroglobulin staining, and the present case was thus diagnosed as of metastatic thyroid tumor of renal cell carcinoma. The present case is the 12th case of thyroid solitary metastasis of renal cell carcinoma reported in Japan to date.
本文报告一例肾细胞癌孤立性转移至甲状腺的病例。患者为一名54岁男性,发现颈部有异常肿块。他有5年前因右肾细胞癌行根治性肾切除术的病史(pT2N0M0,G2>3,肺泡型,透明细胞亚型)。超声检查显示右半甲状腺有肿瘤肿块。1995年4月19日进行了右半甲状腺切除术。组织病理学检查显示,切除的甲状腺肿瘤为透明细胞癌。免疫组化甲状腺球蛋白染色排除了原发性甲状腺肿瘤的可能性,因此本病例被诊断为肾细胞癌转移性甲状腺肿瘤。本病例是日本迄今为止报告的第12例肾细胞癌甲状腺孤立性转移病例。