甲状腺原发性淋巴瘤及乳头状癌同时性重复癌并文献复习  

Primary Lymphoma and Papillary Carcinoma of Thyroid with Concurrent Recurrent Carcinoma:a Literature Review

作　　者：胡兴荣 贵丹 朱鑫 黄治华 HU Xingrong;GUI Dan;ZHU Xin;HUANG Zhihua(Department of Medical Imaging,The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture/University Hospital of Hubei Minzu University,Enshi 445000,Hubei,P.R.China;Health Science Center of Hubei Minzu University,Enshi 445000,Hubei,P.R.China)

机构地区：[1]恩施土家族苗族自治州中心医院/湖北民族大学恩施临床医学院影像科,湖北恩施445000 [2]湖北民族大学医学部,湖北恩施445000

出　　处：《影像科学与光化学》2020年第5期882-886,共5页Imaging Science and Photochemistry

摘　　要：患者无意发现右侧颈前包块6月余入院。血常规、肝肾功能、肿瘤标志物及甲状腺功能正常。超声示甲状腺右侧叶下极约3.0cm×1.6cm大小不规则低回声结节,CDFI示低回声结节内少许血流信号。颈部CT平扫+增强示甲状腺密度减低,甲状腺右侧叶增大,右侧叶及峡部见稍低密度结节影,增强后动脉期中度强化,静脉期中度强化,边缘不规则,甲状腺包膜完整;薄层重建见甲状腺右侧叶低强化微小结节。行甲状腺右侧叶+峡部切除及中央淋巴结清扫术,病理诊断显示,甲状腺右侧叶结节:非霍奇金淋巴瘤(弥漫大B细胞性淋巴瘤,生发中心来源);甲状腺右侧叶+峡部:微小乳头状癌(直径约0.6cm)。患者术后恢复良好,并接受化疗。The patient inadvertently found the right anterior cervical mass for more than 6months before hospitalization.Blood routine test,liver and kidney function,tumor markers and thyroid function were normal.Ultrasound showed irregular hypoechoic nodules of about 3.0cm×1.6cm in the inferior pole of the right lobe of the thyroid,and CDFI showed a little blood flow signal in the hypoechoic nodules.On plain and enhanced CT scan of the neck,the density of the thyroid decreased,the right lobe of the thyroid increased,the right lobe and isthmus showed slightly low-density nodular shadow,the arterial phase was moderately enhanced,the venous phase was moderately enhanced,the edge was irregular,and the thyroid capsule was complete;on thin-layer reconstruction,the right lobe of the thyroid showed slightly low-density nodular shadow.The right lobe of thyroid gland+isthmus resection and central lymphadenectomy were performed.Pathological diagnosis showed,nodule in the right lobe of thyroid gland:non Hodgkin’s lymphoma(diffuse large B-cell lymphoma,origin of germinal center);right lobe of thyroid gland+isthmus:Micro papillary carcinoma(about 0.6cm in diameter).The patients recovered well after operation and received chemotherapy.

关 键 词：甲状腺肿瘤 淋巴瘤 乳头状癌 

分 类 号：R736.1[医药卫生—肿瘤]