肝细胞肝癌甲状腺转移(附1例报告)  

Thyroid metastasis from hepatocellular carcinoma:a case report

作　　者：李昂 韩肖骅 殷晓星 LI Ang;HAN Xiaohua;YIN Xiaoxing(Department of General Surgery,Jing’an District Center Hospital of Shanghai,Fudan University,Shanghai 200040,China)

机构地区：[1]上海市静安区中心医院(复旦大学附属华山医院静安分院)普外科,上海200040

出　　处：《外科理论与实践》2025年第1期66-69,共4页Journal of Surgery Concepts & Practice

摘　　要：观察1例颈前区巨大占位病人的治疗经过,病理检查提示为肝细胞肝癌(HCC)甲状腺转移。术后病人因出现呼吸困难行气管切开及气切套管置入术。HCC甲状腺转移临床上罕见,其转移原因包括血行转移、淋巴转移等多种因素。乙型肝炎病毒(HBV)感染在肿瘤进展中也起着重要作用。结合文献复习,手术切除甲状腺治疗转移性甲状腺恶性肿瘤可延长生存期,临床工作中仍需制定合理、规范、综合性的诊疗策略,以改善病人的生活质量,提高治疗效果。We reported a case with huge mass in the anterior neck region,which pathological diagnosis was thyroid metastasis from hepatocellular carcinoma(HCC).A tracheotomy was performed,and a tracheostomy tube was placed because of postoperative dyspnea.Thyroid metastasis from HCC is very rare.The causes include hematogenous metastasis,lymphatic metastasis and other factors.Furthermore,Hepatitis B virus(HBV)infection also plays an important role in tumor progression.Combined with the literature review,surgical resection of thyroid in the treatment of metastatic thyroid malignant tumors can prolong the survival.In clinical work,it is still necessary to develop a reasonable,standardized and comprehensive diagnosis and treatment strategy to improve the quality of life of patients and the therapeutic efficacy.

关 键 词：肝细胞肝癌甲状腺转移 甲状腺巨大肿物 乙型肝炎病毒 气管切开 

分 类 号：R735.7[医药卫生—肿瘤] R739.91[医药卫生—临床医学]