甲状腺转移癌13例误诊分析  

Analysis of misdiagnosis of 13 cases with metastatic carcinoma of the thyroid gland

作　　者：郑雄[1] 林秀安[1] 陆伟[1] 

机构地区：[1]福建省肿瘤医院头颈外科,350014

出　　处：《福建医药杂志》2006年第6期27-28,共2页Fujian Medical Journal

摘　　要：目的探讨甲状腺转移癌的误诊因素。方法回顾性分析作者所收治的13例甲状腺转移癌患者,分析其临床表现及检查结果。结果13例患者均因声音嘶哑伴颈前无痛性肿物,未完善检查,误诊为甲状腺恶性肿瘤,而行单侧甲状腺叶切除术。术后行食管吞钡、食管镜检查确诊为食管鳞癌转移到甲状腺。结论食管鳞癌可血行转移到甲状腺,详尽的病史采集及术前检查可避免误诊。Objective To study how to differentiate primary from secondary carcinoma of the thyroid. Methods To ana lyse retrospectively clinical manifestations and examination findings of 13 cases, which were misdiagnosed primary carcinoma in the thyroid before thyroectomy. Results Lacking sufficient examinations, 13 patients with both hoarseness and painless prejugular mass were misdiagnosed, and then were given the lesion-lobe resection. The correct diagnosis of secondary carcinoma, rnetastasizing from esophageal cancer, wasn＇t confirmed until all cases received esophagram and gastroscopy after their operations. Conclusion Esophageal sqamous carcinoma may metastasize to the thyroid by blood cycle. In order to avoid misdiagnosis, it is essential to make a thorough collection of clinical history as well as preoperative investigations.

关 键 词：甲状腺转移 食管癌 误诊 

分 类 号：R736.1[医药卫生—肿瘤]