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作 者:董成功[1] 张蔚[1] 陶园 丛振杰[2] Dong Chenggong;Zhang Wei;Taoyuan;Cong Zhenjie(Department of Pathology,Yantai City Yantai Mountain Hospital,Yantai 264000,China;Department of Radiology,Yantai City Yantai Mountain Hospital,Yantai 264000,China)
机构地区:[1]烟台市烟台山医院病理科,烟台264000 [2]烟台市烟台山医院放射科,烟台264000
出 处:《中华转移性肿瘤杂志》2022年第3期260-262,共3页Chinese Journal of Metastatic Cancer
摘 要:肺微浸润性腺癌临床上常见,但癌旁伴发微小转移性甲状腺乳头状癌少见。临床及影像学诊断比较困难,术中快速冰冻诊断极易漏诊、误诊。本文病例体检发现右肺上叶磨玻璃结节,影像学及术中快速冰冻均诊断为肺微浸润性腺癌;术后石蜡切片诊断肺微浸润性腺癌为主,伴散在灶性转移性甲状腺乳头状癌。患者术后恢复佳,病情平稳。Lung microinvasive adenocarcinoma is common in clinic,but it is rare to have metastatic papillary thyroid carcinoma beside the carcinoma,so it is difficult to make clinical and imaging diagnosis.We encountered a 54 year old male patient with a ground glass nodule in the right upper lobe of the lung,who was diagnosed as lung microinvasive adenocarcinoma by imaging and intraoperative rapid freezing.The postoperative paraffin section diagnosis was mainly lung microinvasive adenocarcinoma,accompanied by sporadic focal metastatic papillary thyroid carcinoma.The patient recovered well after operation and the condition was stable.
关 键 词:肺微浸润性腺癌 转移性甲状腺乳头状癌 诊断与治疗
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