肝细胞肝癌甲状腺转移（附1例报告）

doi:10.16139/j.1007-9610.2025.01.12

摘要/Abstract

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。

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

Abstract:

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.

Key words: Thyroid metastasis from hepatocellular carcinoma (HCC), Giant thyroid goiter, Hepatitis B virus, Tracheotomy

中图分类号:

李昂, 韩肖骅, 殷晓星. 肝细胞肝癌甲状腺转移（附1例报告）[J]. 外科理论与实践, 2025, 30(01): 66-69.

LI Ang, HAN Xiaohua, YIN Xiaoxing. Thyroid metastasis from hepatocellular carcinoma: a case report[J]. Journal of Surgery Concepts & Practice, 2025, 30(01): 66-69.

图/表 4

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