摘要
滤泡性甲状腺癌(follicular thyroid carcinoma,FTC)是最常见的甲状腺癌之一,其发生率占所有甲状腺癌的10%~15%。FTC预后相对较好,但因其血运丰富,容易通过血道转移发生远处转移,其主要的转移部位为骨和肺,但是FTC的下颌骨转移较为少见。本文介绍了1例FTC术后21年转移至下颌骨升支,手术顺利完成,术后随访患者无复发。因患者术前无明显临床症状,给诊疗带来一定的困难。现通过提供详细的影像学和病理学图像探讨本病。
The mandibular metastatic spread of carcinoma from the thyroid gland is exceedingly rare.Follicular thyroid carcinoma is the second most common type of thyroid carcinoma,accounting for approximately 10% to 15% of all thyroid cancers.The prognosis of FTC is relatively satisfactory.Due to its rich blood transport,it is easy to metastasize hematological,with the main sites of metastasis are bone and lung.However,mandibular metastasis of thyroid follicular carcinoma is rare.We report a case of thyroid follicular carcinoma that metastasized to the ascending ramus of the mandible 21 years after surgery.The operation was successfully completed,and there was no recurrence during postoperative follow-up.Due to the absence of obvious clinical symptoms in the patient,the diagnosis and treatment were challenging.We have provided detailed radiographic and pathological images to facilitate understanding and discussion of the disease.
作者
张思瑶
孙庆佳
朱冬冬
ZHANG Siyao;SUN Qingjia;ZHU Dongdong(Department of Otolaryngology Head and Neck Surgery,China-Japan Union Hospital of Jilin University,Changchun,130033,China)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2023年第7期574-577,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
甲状腺肿瘤
外科手术
骨转移
thyroid neoplasm
surgical procedures
bone metastasis
