甲状腺肉瘤样癌1例报道  

Thyroid sarcomatoid carcinoma: a case report

作　　者：惠灿灿 孙艳[1] 吴庆彬[1] 汪艳丽[1] 王芬[1] HUI Cancan;SUN Yan;WU Qingbin;WANG Yanli;WANG Fen(Department of Carder’s Endocrinology,the First Affiliated Hospital of Anhui Medical University,Anhui Province,Hefei230022,China)

机构地区：[1]安徽医科大学第一附属医院干部内分泌科,安徽合肥230022

出　　处：《中国医药导报》2022年第12期181-184,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(82072134);安徽省教育厅高校自然科学研究项目(KJ2018A0196)。

摘　　要：甲状腺肉瘤样癌属未分化癌,恶性度高,预后差,在甲状腺癌中罕见,近年来少有研究报道。笔者报道1例65岁男性,双侧甲状腺质硬、Ⅲ度肿大,彩超阴性,手术探查术中冰冻阴性,最终依靠术后病理诊断左侧甲状腺肉瘤样癌伴淋巴结转移。通过这一案例可见甲状腺肉瘤样癌彩超可表现为阴性,最终诊断依靠病理特征及免疫组织化学。临床医师对可疑甲状腺未分化癌患者需加强对本病认识,避免误诊漏诊。Thyroid sarcomatoid carcinoma is classified as anaplastic thyroid carcinoma,with high malignancy and poor prognosis,they are rare in thyroid cancer,and few studies have been reported in recent years.The author reports a 65-year-old man with bilateral hard thyroid glands,Ⅲdtgree swelling,color doppler ultrasound negative,freezing during surgical exploration negative,and finally relying on postoperative pathological diagnosis of left thyroid sarcomatoid carcinoma with lymph node metastasis.Through this case,it can be seen that color doppler ultrasound can be negative for thyroid sarcomatoid carcinoma,and the final diagnosis depends on pathological features and immunohistochemistry.Clinicians need to strengthen their understanding of the disease in patients with suspected anaplastic thyroid cancer to avoid delayed diagnosis or misdiagnosis.

关 键 词：甲状腺恶性肿瘤 甲状腺癌 肉瘤样癌 病例报告 

分 类 号：R736.1[医药卫生—肿瘤]