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中华普通外科学文献(电子版) ›› 2021, Vol. 15 ›› Issue (04) : 302 -303. doi: 10.3877/cma.j.issn.1674-0793.2021.04.014

病例报告

降钙素阴性甲状腺髓样癌一例
张珂1, 林湘峰1, 赵辉2, 时琳琳2, 郑海涛1,()   
  1. 1. 264003 烟台,滨州医学院;264000 烟台毓璜顶医院甲状腺外科
    2. 264000 烟台毓璜顶医院甲状腺外科
  • 收稿日期:2021-01-05 出版日期:2021-08-03
  • 通信作者: 郑海涛
  • 基金资助:
    山东省医药卫生科技发展计划项目(2018WS031)

Calcitonin-negative medullary thyroid carcinoma: A case report

Ke Zhang1, Xiangfeng Lin1, Hui Zhao2   

  • Received:2021-01-05 Published:2021-08-03
引用本文:

张珂, 林湘峰, 赵辉, 时琳琳, 郑海涛. 降钙素阴性甲状腺髓样癌一例[J]. 中华普通外科学文献(电子版), 2021, 15(04): 302-303.

Ke Zhang, Xiangfeng Lin, Hui Zhao. Calcitonin-negative medullary thyroid carcinoma: A case report[J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(04): 302-303.

图1 甲状腺超声检查结果 A为甲状腺右叶肿瘤几乎占据整个右叶,边界不清,内可见簇状点状微钙化;B为甲状腺左叶内可见不规则结节(红箭头),绿箭头为正常甲状腺组织;C为右侧Ⅳ区可见增大淋巴结(红箭头),淋巴门结构消失,绿箭头为压迫的颈静脉;D为Ⅵ区探及增大淋巴结(红箭头),绿箭头为气管影,黄箭头为颈静脉,白箭头为颈动脉
图2 颈部CT影像 A为可见甲状腺右叶低密度影(绿箭头),气管(白箭头)受压偏向左侧,可见低密度影(红箭头),考虑淋巴结转移; B为颈动脉旁可见稍高密度影(红箭头),考虑淋巴结转移
图3 术后病理示甲状腺髓样癌(苏木精伊红染色 10×10)
图4 术手颈部CT征象 A气管左侧可见稍大淋巴结(红箭头); B颈动脉旁可见稍高密度淋巴结影(红箭头),考虑淋巴结转移可能大,蓝箭为压迫的颈静脉
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