原发性异位甲状腺癌3例并文献复习  

Diagnosis and treatment of primary ectopic thyroid carcinoma:report of 3 cases and literature review

作　　者：周雅琪[1] 钱敏飞[2] 周争[2] 龚婷[2] 王家东[1] 

机构地区：[1]上海交通大学医学院附属仁济医院头颈外科上海,200001 [2]上海交通大学医学院附属仁济医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第3期151-153,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨原发性异位甲状腺癌的临床特征及诊治原则。方法:回顾性分析我科1990年至今诊治的共3例原发性异位甲状腺癌患者的临床资料,并结合文献进行分析。结果:3例患者均为女性,年纪较轻,术前表现为颈部肿块,术后病理均证实为异位甲状腺乳头状癌,随访至今均无复发征象。结论:异位甲状腺是胚胎时期甲状腺始基迁移过程中发生异常所致,同样能发生癌变,其治疗原则在国内外颇有争议。本文报道的3例原发性异位甲状腺乳头状癌均予以手术切除,术后予以甲状腺素治疗,预后良好。Objective： Discuss the clinical features of primary ectopic thyroid carcinoma. Method：The clinical data o{ three cases diagnosed of primary ectopic thyroid carcinoma in our department sit^ce 1990 were analyzed ret- rospectively and related literature was reviewed. Result： All three patients were young females that had cervical lumps before surgery. The pathology results confirmed the diagnosis of ectopic thyroid papillary carcinoma. All cases had followed up till now and no relapse signs occurred. Conclusion： Ectopic thyroid tissue is resulting {rom developmental defects at early stages of thyroid gland embryogenesis. They can cancerization, the treatment of ec- topic thyroid carcinoma is also controversial. Here,we report 3 cases of primary ectopic thyroid papillary carcino- ma, all of which were removed by surgery, take thyroxin orally after surgery and have a great prognosis.

关 键 词：异位甲状腺 肿瘤 乳头状癌 

分 类 号：R736.1[医药卫生—肿瘤]