隐匿性甲状腺癌一例
Occult Thyroid Carcinoma: A Report of a Rare Case
DOI: 10.12677/ACM.2022.123323, PDF,   
作者: 张一丹, 钟 锐, 孙振轩, 王 腾:大连医科大学研究生院,辽宁 大连;刘金涛:大连医科大学附属大连市中心医院甲状腺外科,辽宁 大连
关键词: 隐匿性甲状腺癌颈部淋巴结转移诊断治疗Occult Thyroid Carcinoma Cervical Lymph Node Metastasis Diagnosis Treatment
摘要: 隐匿性甲状腺癌(Occult Thyroid Carcinoma, OTC)以其病灶隐匿著称,是甲状腺癌的一种特殊类型。由于癌灶微小,临床不易诊断,多以颈部淋巴结转移而被发现。本文报道大连市中心医院甲状腺外科于2021年5月5日收治的1例OTC病例,并概括其定义,超声特征,分类,鉴别诊断及治疗方式。
Abstract: Occult thyroid carcinoma (OTC) is famous for its occult focus. It is a special type of thyroid cancer. Because the cancer focus is small and difficult to diagnose clinically, it is mostly found by cervical lymph node metastasis. This paper reports a case of OTC admitted to the Department of thyroid surgery of Dalian Central Hospital on 5 May, 2021, and summarizes its definition, ultrasonic characteristics, classification, differential diagnosis and treatment.
文章引用:张一丹, 钟锐, 孙振轩, 王腾, 刘金涛. 隐匿性甲状腺癌一例[J]. 临床医学进展, 2022, 12(3): 2249-2254. https://doi.org/10.12677/ACM.2022.123323

参考文献

[1] Segen, J. (2002) Concise Dictionary of Modern Medicine. Mc-Graw-Hill, New York.
[2] Yang, G.C., LiVolsi, V.A. and Baloch, Z.W. (2002) Thyroid Microcarcinoma: Fine-Needle Aspiration Diagnosis and Histologic Follow-Up. International Journal of Surgical Pathology, 10, 133-139. [Google Scholar] [CrossRef] [PubMed]
[3] 许莉华, 黄斌. 高频超声在甲状腺囊实性结节良恶性鉴别中的应用[J]. 中国现代医生, 2016, 54(1): 126-128.
[4] 彭玉兰, 马步云, 于波洋, 等. 甲状腺微小癌的超声研究现状与进展[J]. 西部医学, 2016, 28(4): 448-452.
[5] 王刚, 杨超, 李大强, 等. 高频超声检查甲状腺乳头状癌超声图像的特征分析[J]. 中国肿瘤临床与康复, 2015, 22(10): 1192-1193.
[6] 胡洪生, 周文波, 孙少华, 等. 甲状腺癌颈部淋巴结转移彩超特点分析[J]. 湖北医药学院学报, 2015, 34(2): 155-158.
[7] The American Thyroid Association (ATA) Guidelines Taskforce on Thyroid Nodules and Differentiated Thyroid Cancer, Cooper, D.S., Doherty, G.M., et al. (2009) Revised American Thyroid Association Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 19, 1167-1214. [Google Scholar] [CrossRef] [PubMed]
[8] 全丽娟, 朱文军, 孟彬, 等. 甲状腺微小乳头状癌超声声像图特征预测颈部淋巴结转移的价值[J]. 中国临床医学影像杂志, 2013, 24(4): 272-274.
[9] Boucek, J., Kastner, J., Skrivan, J., et al. (2009) Occult Thyroid Carcinoma. Acta Otorhinolaryngologica Italica, 29, 296-304.
[10] Izzard, M., McIvor, N., Chaplin, J., et al. (2006) Neurological Deficit as a Presentation of Occult Metastatic Hyroid Carcinoma. ANZ Journal of Surgery, 76, 953-956. [Google Scholar] [CrossRef] [PubMed]
[11] Yamamoto, Y., Maeda, T., Izumi, K., et al. (1990) Occult Papillary Carcinoma of the Thyroid. A Study of 408 Autopsy Cases. Cancer, 65, 1173-1179. [Google Scholar] [CrossRef
[12] Yuen, A.P., Ho, A.C. and Wong, B.Y. (2011) Ultrasonographic Screening for Occult Thyroid Cancer. Head & Neck, 33, 453-457. [Google Scholar] [CrossRef] [PubMed]
[13] Kwak, J.Y. (2013) Indications for fine Needle Aspiration in Thyroid Nodules. Endocrinology and Metabolism, 28, 81-85. [Google Scholar] [CrossRef
[14] Pardal-de-Oliveira, F. and Vieira, F. (1999) Occult Papillary Carcinoma of the Thyroid Gland with Extensive Osseous Metastases: A Case Report with Review of the Literature. Pathology-Research and Practice, 195, 711-714. [Google Scholar] [CrossRef
[15] Cavazza, A., Roggeri, A., Zini, M., et al. (2002) Lymphangioleiomyomatosis Associated with Pulmonary Metastasis from an Occult Papillary Carcinoma of the Thyroid: Report of a Case Occurring in a Patient without Tuberous Sclerosis. Pathology-Research and Practice, 198, 825-828. [Google Scholar] [CrossRef] [PubMed]
[16] Lecumberri, B., Alvarez-Escolá, C., Martín-Vaquero, P., Chai, J.W., et al. (2010) Solitary Hemorrhagic Cerebellar Metastasis from Occult Papillary Thyroid Microcarcinoma. Thyroid, 20, 563-567. [Google Scholar] [CrossRef] [PubMed]
[17] Kushwaha, J.K., Sonkar, A.A., Goel, M.M., et al. (2012) Papillary Carcinoma of Thyroid Arising from Ectopic Hyroid Tissue inside Branchial Cleft Cyst: A Rare Case. BMJ Case Reports, 2012, bcr0220125783. [Google Scholar] [CrossRef] [PubMed]
[18] Xu, J.J., Kwan, K. and Fung, K. (2013) Papillary Thyroid Carcinoma in a Lateral Neck Cyst: Primary of Ectopic Thyroid Tissue versus Cystic Metastasis. The Journal of Laryngology & Otology, 127, 724-727. [Google Scholar] [CrossRef
[19] Liu, H., Lv, L. and Yang, K. (2014) Occult Thyroid Carcinoma: A Rare Case Report and Review of Literature. International Journal of Clinical and Experimental Pathology, 7, 5210-5214.
[20] 柴佳威, 朱坤兵, 李亚琼, 王甜甜. 隐匿性甲状腺癌: 1例病例报道和文献回顾[J]. 山东大学学报(医学版), 2020, 59(1): 83-87.