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弥漫性硬化型甲状腺乳头状癌并桥本甲状腺炎漏诊报告 被引量：7

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摘要 目的探讨弥漫性硬化型甲状腺乳头状癌并桥本甲状腺炎(Hashimoto's thyroiditis,HT)临床特点、漏诊原因及防范措施。方法对我院近年收治的1例弥漫性硬化型甲状腺乳头状癌并HT的临床资料进行回顾分析。结果患者因发现颈部肿块并逐渐增大1年入院。甲状腺超声及细针穿刺细胞学检查均漏诊弥漫性硬化型甲状腺乳头状癌。因有局部压迫症状,且甲状腺增长速度较快,质地硬,行手术治疗。术中及术后病理检查确诊弥漫性硬化型甲状腺乳头状癌并HT。予相应治疗,病情稳定。结论临床上对弥漫性甲状腺增大患者,即便有其他甲状腺疾病证据,也应警惕弥漫性硬化型甲状腺乳头状癌,要注意观察甲状腺增长速度、质地,淋巴结增大情况及形态,以防误漏诊。
作者 郑海兰 沈明 胡金花
机构地区 安庆市第一人民医院内分泌科 安庆市第一人民医院超声科
出处 《临床误诊误治》 2014年第5期35-37,共3页 Clinical Misdiagnosis & Mistherapy
关键词 甲状腺肿瘤 甲状腺炎 漏诊
分类号 R736.1 [医药卫生—肿瘤] R581.4 [医药卫生—内分泌]
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参考文献16

  • 1楼琴,吕成.甲状腺乳头状癌的高频超声特点[J].中国现代医生,2012,50(3):109-109. 被引量：2
  • 2Lee J Y, Shin J H, Han B K, et al. Diffuse sclerosing variant of papillary carcinoma of the thyroid : imaging and cytologic findlngs[J]. Thyroid, 2007,17(6) :567-573.
  • 3Falvo L, Giacomelli L, D'Andrea V, et al. Prognostic importance of sclerosing variant in papillary thyroid carci- noma [ J ]. Am Surg, 2006,72 ( 5 ) : 438-444.
  • 4Thompson L D, Wieneke J A, Heffess C S. Diffuse scle- rosing variant of papillary thyroid carcinoma: a clinico- pathologic and immunophenotypic analysis of 22 cases [ J ]. Endocr Pathol, 2005,16 (4) :331-348.
  • 5Koo J S, Hong S, Park C S. Diffuse sclerosing variant is a major subtype of papillary thyroid carcinoma in the young. [ J ]. Thyroid, 2009,19 ( 11 ) : 1225-1231.
  • 6Bongiovanni M, Triponez F, McKee T A, et al. Fine-nee- dle aspiration of the diffuse sclerosing variant of papillary thyroid carcinoma masked by florid lymphocytic thyroiditis; A potential pitfall : A case report and review of the literat- ue [ J ] Diagn Cytopathol, 2009,37 ( 9 ) :671-675.
  • 7Imamura Y, Kasahara Y, Fukuda M. Multiple brain me- tastases from a diffuse sclerosing variant of papillary car-cinoma of the thyroid [ J ]. Endocr Pathol, 2000, 1 ! ( 1 ) : 97-108.
  • 8Kim E Y, Kim W G, Kim W B, et al. Coexistence of chronic lymphocytic thyroiditis is associated with lower re- currence rates in patients with papillary thyroid carcinoma [ J]. Clin Endocrinol, 2009,71 (4) :581-586.
  • 9Gul K, Dirikoc A, Kiyak G, et al. The association be- tween thyroid carcinoma and Hashimoto's thyroiditis: the uhrasonographic and histopathologic characteristics of ma- lignant nodules [ J ]. Thyroid, 2010,20 ( 8 ) : 873 -878.
  • 10朱有志,陈祥锦,张真真,张惠灏,吴坤琳,张德杰.甲状腺癌并存桥本甲状腺炎的临床和病理分析[J].中国肿瘤临床,2012,29(4):217-220. 被引量：35

二级参考文献23

  • 1陈敏,朱世亮,周世崇,叶思予.高频超声在甲状腺癌诊断和鉴别诊断中的应用——附380例病例分析[J].中华医学超声杂志（电子版）,2006,3(3):161-163. 被引量：44
  • 2杨敬春.颈部淋巴结内囊性变在甲状腺乳头状癌转移诊断中的作用[J].中国临床医学影像杂志,2005,16(4):184-186. 被引量：24
  • 3回允中译.外科病理学.北京大学医学出版社,2006:538-539.
  • 4Kwak JY,Kim EK, Hong SW, et al. Diffuse sclerosing variant of papillary carcinoma of the thyroid: ultrasound features with histopathological correlation. Clinical Radiology, 2007,62 : 382-386.
  • 5Laura Falvo, MD, Laura Giacomelli, MD, Vito D Andrea, MD, et al. Prognostic importance of selerosing variant in papillary thyroid carcinoma. The American Surgeon, 2006,72 : 438-444.
  • 6Kobayashi K,Fukata S,Amino N,et al. A case with differuse sclerosing variant of papillary carcinoma of the thyroid: characteristic features on ultrasonography. J Med Ultrasound, 2006, 33:159-161.
  • 7Yoshihide Fujimoto, MD. Takao Obara, MD, Yukio Ito, MD, et al. Diffuse sclerosing variant of papillary carcinoma of thyroid. Cancer, 1990,66 : 2306-2312.
  • 8Kessler A,Rappaport Y, Blank A, et al. Cystic appearance of cervical lymph nodes is characteristic of metastatic papillary thyroid carcinoma. Journal of Clinical Ultrasound, 2002,31 ( 1 ) : 21-25.
  • 9Balkwill F,Mantovani A.Inflammation and cancer:back to virchow[J]?Lancet.2001,357(9255):539-545.
  • 10Cipolla C,Sandonato L,Graceffa G,et al.Hashimoto thyroiditis co-existent with papillary thyroid carcinoma[J].Am Surg,2005,71(10):874-878.

共引文献60

同被引文献61

  • 1马金刚,李迎雁,赵兴红,杨天鸣,陈慧,张红霞.细胞凋亡因子—Survivin在肿瘤疾病中的研究进展[J].西北国防医学杂志,2007,28(3):210-212. 被引量：1
  • 2Gharib H, Papini E, Paschke R, et al. American Asso- ciation of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical guidelines for clinical practice for the diagnosis and man- agement of thyroid nodules : executive summary of recom- mendations[ J]. Endocr Pract, 2010,16( 3 ) :468-475.
  • 3Sugino K, Kameyama K, Nagahama M, et al. Follicular thyroid carcinoma with distant metastasis: outcome and prognostic factor[ J]. Endoer J, 2014,61 (3) .273-279.
  • 4Ito Y, Hirokawa M, Masuoka H, et al. Distant metasta- sis at diagnosis and large tumor size are significant prog- nostic factors of widely invasive follicular thyroid carcino- ma[J]. Endocr J, 2013,60(6) :829-833.
  • 5Koppad S N, Kapoor V B. Follicular thyroid carcinoma presenting as massive skull metastasis: a rare case report and literature review[ J ]. J Surg Tech Case Rep, 2012,4 (2) :112-114.
  • 6Steffen K R, Veit E, Peter V, et al. Solitary follicular thyroid carcinoma of the skull base and its differentiation from ectopic adenoma-review, use of galectin-3 and report of a new case [ J ]. Clin Neurology Neurosurgery, 2000, 102(3) :149-155.
  • 7Tunio M A, Alasiri M, Riaz K, et al. Skeletal muscle metastasis as an initial presentation of follicular thyroid carcinoma: a case report and a review of the literature [ J]. Case Rep Endocrinol, 2013,2013:192573.
  • 8Rahman G A, Abdulkadir A Y, Olatoke S A, et al. Unu- sual cutaneous metastatic follicular thyroid carcinoma [J]. J Surg Tech Case Rep, 2010,2(1) :35-38.
  • 9Gharib H, Papini E, Paschke R, et al. American Asso- ciation of Clinical Endocrinologists, Associazione Medici Endocrinologi, and EuropeanThyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules [ J ]. Endocr Pract, 2010,16(Suppl 1) :1-43.
  • 10Cappelli C, Castellano M, Pirola I, et al. The predictive value of ultrasound findings in the management of thyroid nodules[ J]. QJM, 2007,100( 1 ) :29-35.

引证文献7

二级引证文献31

临床误诊误治
2014年 第5期

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