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中华普通外科学文献(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 223 -224. doi: 10.3877/cma.j.issn.1674-0793.2022.03.014

病例报告

以颅骨转移为首发表现的甲状腺滤泡癌一例
杨晓晴1, 王正寨1, 林溪源1, 郑海涛1,()   
  1. 1. 264000 青岛大学附属烟台毓璜顶医院甲状腺外科
  • 收稿日期:2021-11-25 出版日期:2022-06-01
  • 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)

Follicular thyroid carcinoma with skull metastasis: A case report

Xiaoqing Yang1, Zhengzhai Wang1, Xiyuan Lin1   

  • Received:2021-11-25 Published:2022-06-01
引用本文:

杨晓晴, 王正寨, 林溪源, 郑海涛. 以颅骨转移为首发表现的甲状腺滤泡癌一例[J]. 中华普通外科学文献(电子版), 2022, 16(03): 223-224.

Xiaoqing Yang, Zhengzhai Wang, Xiyuan Lin. Follicular thyroid carcinoma with skull metastasis: A case report[J]. Chinese Archives of General Surgery(Electronic Edition), 2022, 16(03): 223-224.

图1 CT结果 右侧额顶部类圆形软组织肿块影(红色箭头示),其内可见多发斑片状高密度影,邻近脑组织受压,中线结构偏左,额骨右份及右侧顶骨骨质破坏
图2 免疫组织化学结果(HE ×200) (A)TG(+)提示甲状腺滤泡来源;(B)PAX-8(+)
图3 免疫组织化学结果(HE ×200) A为TTF-1(+)提示甲状腺来源;B为Galectin3(+)
图4 甲状腺滤泡癌颅骨转移病理学表现(HE ×200)细胞呈大小不一的滤泡状及巢团状,滤泡内含胶质,于骨质内呈破坏侵袭性生长
图5 甲状腺超声结果 左叶结节大小约3.0 ㎝×2.8 ㎝×2.0 ㎝(红色箭头)
图6 CT结果 甲状腺左叶体积增大(红色箭头),见结节状稍低密度灶,大小约3.8 ㎝×3.2 ㎝,内见钙化,相邻结构组织结构受压
图7 术中左叶甲状腺肿物标本,瘤体存在包膜,剖面呈黄褐色
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