内科理论与实践

内科理论与实践 ›› 2024, Vol. 19 ›› Issue (04): 254-258.doi: 10.16138/j.1673-6087.2024.04.07

• 病例报告 • 上一篇    下一篇

2例甲状腺转移癌的超声学特征及临床表现：重视异常甲状腺超声图谱

李元媛a, 丁文波b, 姜子瑜c, 陈曦c, 刘彬彬d, 陈国芳a(), 刘超a()   

  1. a.内分泌科 南京中医药大学附属中西医结合医院 江苏省中医药研究院，江苏 南京 210028
    b.超声科 南京中医药大学附属中西医结合医院 江苏省中医药研究院，江苏 南京 210028
    c.肿瘤科 南京中医药大学附属中西医结合医院 江苏省中医药研究院，江苏 南京 210028
    d.病理科 南京中医药大学附属中西医结合医院 江苏省中医药研究院，江苏 南京 210028
  • 收稿日期:2023-12-27 出版日期:2024-08-28 发布日期:2024-11-11
  • 通讯作者: 陈国芳 E-mail：chenguofang9801@126.com；刘超 E-mail: liuchao@nfmcn.com

Ultrasound features and clinical manifestations of two cases of thyroid metastatic cancer: pay attention to abnormal thyroid ultrasound spectrum

LI Yuanyuana, DING Wenbob, JIANG Ziyuc, CHEN Xic, LIU Binbind, CHEN Guofanga(), LIU Chaoa()   

  1. a. Endocrine and Diabetes Center, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China
    b. Department of Ultrasound, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China
    c. Department of Oncology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China
    d. Department of Pathology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210028, China
  • Received:2023-12-27 Online:2024-08-28 Published:2024-11-11

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摘要：

超声检查对甲状腺癌的早期筛查具有重要作用。本文介绍2例分别继发于肾透明细胞癌和宫颈鳞状细胞癌的甲状腺转移癌病例，分析其临床诊治经过、超声学特征、治疗、预后，并复习文献资料。既往有恶性肿瘤病史的患者若出现非典型甲状腺病变的超声图谱，需警惕转移癌可能，粗针活组织检查联合免疫组化检测有助于及早明确诊断、及时治疗。

关键词: 甲状腺转移癌, 超声学特征, 肾透明细胞癌, 宫颈鳞状细胞癌, 粗针活组织检查

Abstract:

Ultrasonography plays an important role in early screening of thyroid cancer. This article introduced two cases of thyroid metastatic carcinoma secondary to renal clear cell carcinoma and cervical squamous cell carcinoma respectively, analyzed their clinical diagnosis and treatment process, ultrasound characteristics, and prognosis, as well as reviewed the related literature. As atypical thyroid lesions were detected through the ultrasound spectrum in patients with a history of malignant tumors, it should be alert to the possibility of metastatic cancer. Ultrasound-guided core-needle biopsy combined with immunohistochemical testing can help early diagnosis and timely treatment.

Key words: Thyroid metastatic carcinoma, Ultrasound features, Renal clear cell carcinoma, Cervical squamous cell carcinoma, Core needle biopsy

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