Larsimont D, Renard N, Andry G
Service d'Anatomie Pathologique, Institut Jules-Bordet, Centre des Tumeurs de l'Université Libre de Bruxelles, Belgique.
Ann Chir. 1998;52(5):465-8.
Two patients, both 70 years old, operated for differentiated thyroid cancer with foci of undifferentiated tumor (one papillary containing pseudosarcomatoid foci, the other with insular pattern containing undifferentiated foci) suddenly died. In both cases, for both of them metastatic involvement of the myocardium and endocardium. These original findings suggest that elderly patients suffering rom well differentiated thyroid cancer, containing undifferentiated foci, therefore suspected to have metastasized, would benefit from non-invasive cardiac work-up (sonogram) in order to plan their multidisciplinary treatment.
两名均为70岁的患者因分化型甲状腺癌伴未分化肿瘤灶(1例为含假肉瘤样灶的乳头状癌,另1例为含未分化灶的岛状癌)接受手术,术后突然死亡。在这两例中,心肌和心内膜均有转移累及。这些原始发现表明,患有含未分化灶的高分化甲状腺癌、因此怀疑已发生转移的老年患者,将受益于无创心脏检查(超声心动图),以便规划其多学科治疗。