Malignancy related hypercoagulobility can manifest as acute arterial infarction, non-bacterial thrombotic endocarditis and thrombophlebitis. Rarely, ischemic stroke may be first symptom for a systemic occult cancer. W...Malignancy related hypercoagulobility can manifest as acute arterial infarction, non-bacterial thrombotic endocarditis and thrombophlebitis. Rarely, ischemic stroke may be first symptom for a systemic occult cancer. We presented 62-year-old man who had recurrent stroke as the initial manifestation of an occult neoplastic process. Subsequently, the patient had venous thrombotic disease that led to the diagnosis of the malignancy. Conclusions: Acute or sub-acute multiple ischemic stroke may be the first manifestation of in an occult cancer.展开更多
目的:探讨隐匿性甲状腺癌(occult cancer of the thyroid,OCT)的诊断与治疗。方法:回顾性分析1998年-2008年我院收治并经病理证实的68例OCT患者的临床资料。结果:男性11例,女性57例,年龄15-69岁,中位年龄43.5岁。41例(60.2%)患者因发现...目的:探讨隐匿性甲状腺癌(occult cancer of the thyroid,OCT)的诊断与治疗。方法:回顾性分析1998年-2008年我院收治并经病理证实的68例OCT患者的临床资料。结果:男性11例,女性57例,年龄15-69岁,中位年龄43.5岁。41例(60.2%)患者因发现甲状腺结节就诊,其中16(39.0%)例临床查体未能发现,后经超声、手术探查发现微小结节;17例(25%)以颈淋巴结肿大为首发症状,经超声检查发现同侧甲状腺中微小结节;68例中66例成功得到随访(随访率97.1%),其中甲状腺腺叶切除术患者44例,改良颈淋巴结清除术患者22例,其中5例(7.6%)患者死亡,2例患者由于地址更换而失访(失访率2.9%)。结论:甲状腺乳头状微小癌起病隐匿,术前较难诊断。详细的查体和辅助检查是OCT诊断不可缺少的,手术治疗为甲状腺乳头状微小癌的主要手段。展开更多
文摘Malignancy related hypercoagulobility can manifest as acute arterial infarction, non-bacterial thrombotic endocarditis and thrombophlebitis. Rarely, ischemic stroke may be first symptom for a systemic occult cancer. We presented 62-year-old man who had recurrent stroke as the initial manifestation of an occult neoplastic process. Subsequently, the patient had venous thrombotic disease that led to the diagnosis of the malignancy. Conclusions: Acute or sub-acute multiple ischemic stroke may be the first manifestation of in an occult cancer.
文摘目的:探讨隐匿性甲状腺癌(occult cancer of the thyroid,OCT)的诊断与治疗。方法:回顾性分析1998年-2008年我院收治并经病理证实的68例OCT患者的临床资料。结果:男性11例,女性57例,年龄15-69岁,中位年龄43.5岁。41例(60.2%)患者因发现甲状腺结节就诊,其中16(39.0%)例临床查体未能发现,后经超声、手术探查发现微小结节;17例(25%)以颈淋巴结肿大为首发症状,经超声检查发现同侧甲状腺中微小结节;68例中66例成功得到随访(随访率97.1%),其中甲状腺腺叶切除术患者44例,改良颈淋巴结清除术患者22例,其中5例(7.6%)患者死亡,2例患者由于地址更换而失访(失访率2.9%)。结论:甲状腺乳头状微小癌起病隐匿,术前较难诊断。详细的查体和辅助检查是OCT诊断不可缺少的,手术治疗为甲状腺乳头状微小癌的主要手段。
