全身广泛转移的隐匿性甲状腺滤泡状癌1例  

Occult follicular thyroid carcinoma with extensive systemic metastasis:a case report

作　　者：钟建 胡必富 Zhong Jian;Hu Bifu(Department of Nuclear Medicine,Suizhou Hospital,Hubei University of Medicine,Suizhou 441300,China;Department of Medical Imaging,Suizhou Hospital,Hubei University of Medicine,Suizhou 441300,China)

机构地区：[1]湖北医药学院附属随州医院核医学科,随州441300 [2]湖北医药学院附属随州医院医学影像科,随州441300

出　　处：《国际放射医学核医学杂志》2023年第11期724-726,F0003,共4页International Journal of Radiation Medicine and Nuclear Medicine

摘　　要：隐匿性甲状腺癌(OTC)在分化型甲状腺癌(DTC)中较为少见,而全身广泛转移的OTC病例国内外更是极少报道。笔者报道了1例全身骨骼、双肺、肾上腺等部位广泛转移但未发现原发灶的甲状腺滤泡状癌病例,通过分析其诊疗经过、实验室检查、组织病理学检查结果并复习相关文献,探讨OTC发生的可能原因及其全身广泛转移的治疗方案。Occult thyroid carcinoma(OTC)is rare in differentiated thyroid carcinoma(DTC),and cases of OTC with extensive systemic metastasis are rarely reported at home and abroad.This paper reported a case of follicular carcinoma of thyroid with extensive metastasis from skeleton,lungs,adrenal gland and other parts of the whole body without primary focus,by analyzing the diagnosis and treatment process,laboratory examination,histopathological examination results and reviewing the relevant literature,the possible causes of OTC and the treatment scheme of extensive metastasis in the whole body were discussed.

关 键 词：甲状腺滤泡状癌 全身骨骼 广泛转移 隐匿性甲状腺癌 组织病理学检查 OTC 诊疗经过 肾上腺 

分 类 号：R736.1[医药卫生—肿瘤]