原发性甲状腺鳞状细胞癌术后颈总动脉破裂1例  

Common carotid artery rupture after operation of primary thyroid squamous cell carcinoma:a case report

作　　者：胡春 张霞 揭定辉 张春锋 白子彬[1] 孙晓强 HU Chun;ZHANG Xia;JIE Dinghui

机构地区：[1]泸州市人民医院耳鼻咽喉头颈外科,四川泸州646000 [2]不详

出　　处：《临床耳鼻咽喉头颈外科杂志》2021年第12期1132-1135,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告患者,男,60岁,因"声音嘶哑1周"于2020年4月6日入院。甲状腺彩超检查:甲状腺左侧叶低回声团,建议TI-RADS:4B类。颈部增强CT检查:考虑甲状腺左叶占位病变,周围部分脂肪间隙模糊,与临近食管及气管左侧壁分界欠清,增强扫描不均匀磨玻璃样改变强化。喉部、甲状腺MRI增强检查(图1):甲状腺左叶明显增大,其内见团块状异常信号影,大小4.7cm×3.1cm×2.5cm边界欠清,部分层面灶与食管、气管和左侧颈总动脉分界欠清,增强扫描后呈均匀强化。Primary squamous cell carcinoma of the thyroid is a very rare tumor, accounting for less than 1% of all thyroid tumors. In addition, primary thyroid squamous cell carcinoma progresses rapidly and the prognosis is poor. The average survival time is about 6 months. This article explores the causes and treatment of common carotid artery rupture after thyroid squamous cell carcinoma involving the common carotid artery, esophagus, trachea, recurrent laryngeal nerve, methods and prognosis.

关 键 词：甲状腺肿瘤 鳞状细胞癌 颈总动脉破裂 

分 类 号：R736.1[医药卫生—肿瘤]