以颈部肿块首发男性甲状腺乳头状癌误诊分析  

Analysis of Misdiagnosis of Papillary Thyroid Carcinoma in Males with Neck Mass as the Initial Symptom

作　　者：孔繁玲 肖红霞 马常娥 KONG Faning;XIAO Hongxia;MA Change(Department of Endocrinology and Nephrology,Zhangye People's Hospital Affiliated to Hexi College,Zhangye,Gansu 734000,)

机构地区：[1]河西学院附属张掖人民医院内分泌肾病科,甘肃张掖734000

出　　处：《临床误诊误治》2024年第9期20-24,共5页Clinical Misdiagnosis & Mistherapy

摘　　要：目的 分析男性甲状腺乳头状癌(papillary thyroid carcinoma, PTC)误诊的原因及防范误诊措施。方法 回顾性分析2018年2月-2022年3月收治2例曾误诊的男性PTC的临床资料。结果 2例均因发现颈部肿块就诊,经颈部彩超、CT检查考虑为囊性淋巴管瘤、鳃裂囊肿各1例。2例经手术病理检查确诊为PTC,其中1例伴颈部淋巴结转移。误诊时间分别为22、14 d。2例确诊后均行甲状腺全切术及颈部淋巴结清扫术治疗,术后分别随访1年、半年,预后较好,均未见复发。结论 男性PTC临床表现无特异性,应加强对该病的认识,提高警惕性,仔细查体,认真鉴别诊断,及早行甲状腺超声、CT检查甚至病理检查,以提高本病术前诊断率。Objective To analyze the causes and preventive measures of misdiagnosis of papillary thyroid carcinoma(PTC)in males.Methods The clinical data of 2 male patients with misdiagnosed PTC admitted from February 2018 to March 2022 were retrospectively analyzed.Results Two patients presented with cervical mass,and cystic lymphangioma and branchial cleft cyst were considered by color Doppler ultrasonography and CT.PTC was confirmed in 2 patients by surgical and pathologic examination,1 of which was accompanied by cervical lymph node metastasis.The duration of misdiagnosis was 22 d and 14 d respectively.Total thyroidectomy and cervical lymph node dissection were performed in 2 patients after diagnosis.The prognosis was good at 6 months and 1 year after follow-up respectively.No recurrence was observed.Conclusion The clinical manifestations of PTC in males are non-specific.It is necessary to strengthen the understanding of PTC,enhance vigi-lance,carefully perform physical examination and differentiate diagnosis,and perform timely thyroid ultrasound,CT and even pathological examination,to improve the preoperative diagnosis rate of this disease.

关 键 词：甲状腺肿瘤 癌 乳头状 误诊 淋巴管瘤 囊状 鳃原瘤 超声检查 甲状腺切除术 手术病理 

分 类 号：R736.1[医药卫生—肿瘤]