Chiewvit S, Pusuwan P, Chiewvit P, Pleehachinda R, Attanatho V, Mongkharuk J
Division of Nuclear Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1998 Oct;81(10):799-802.
A 62 year-old man presented with massive pericardial effusion and a thyroid nodule. One thousand ml of serosanguinous pericardial effusion was tapped and the cytology consistent with metastatic papillary carcinoma. Total thyroidectomy was done. The pathological report of the thyroid gland was follicular carcinoma, poorly differentiated with capsular and vascular invasion. The patient received a treatment of 150 mci I-131 without complications. The total body scan after I-131 treatment showed only residual thyroid tissue. There was no demonstrable abnormal uptake in other parts of the body. No significant reaccumulation of pericardial fluid occurred. The diagnosis was follicular carcinoma of the thyroid with pericardial metastasis. The patient was discharged from the hospital with an improved clinical status.
一名62岁男性因大量心包积液和甲状腺结节前来就诊。抽出了1000毫升血性心包积液，细胞学检查结果与转移性乳头状癌相符。遂行甲状腺全切术。甲状腺的病理报告为滤泡癌，分化差，伴有包膜和血管侵犯。患者接受了150毫居里的I-131治疗，未出现并发症。I-131治疗后的全身扫描仅显示残留甲状腺组织。身体其他部位未发现明显异常摄取。心包积液未出现明显再次积聚。诊断为甲状腺滤泡癌伴心包转移。患者出院时临床状况有所改善。
