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A rare primary tumor of the thyroid gland: report a new case of leiomyosarcoma and literature review

机译:罕见的甲状腺原发性肿瘤:报告一例新的平滑肌肉瘤病例并文献复习

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摘要

Primary leiomyosarcomas of the thyroid gland are extremely rare. we report a case of a 72 year-old women with a painful growing mass of the left neck with skin fistula. The patient underwent a lobectomy. The tumor histology showed spindle-shaped cells arranged in interlacing fascicles that expressed desmine and Hcaldesmone, but were negative for cytokeratins and thyroglobulin. Total body CT scan didnt show any other tumor. The patient died two months after surgery. Primary thyroid leiomyosarcoma may be mistaken for other tumors, such as anaplastic or medullary carcinomas. Therefore, the diagnosis is difficult and requires numerous clinical, radiological, and pathological investigations.Virtual SlidesThe virtual slide(s) for this article can be found here:
机译:甲状腺原发性平滑肌肉瘤极为罕见。我们报告了一例72岁的女性,左颈部疼痛增长,伴有皮肤瘘。该患者接受了肺叶切除术。肿瘤组织学显示纺锤形细胞排列在交错的纤维束中,这些纤维束表达结蛋白和Hcaldesmone,但对细胞角蛋白和甲状腺球蛋白阴性。全身CT扫描未显示任何其他肿瘤。该患者在手术后两个月死亡。原发性甲状腺平滑肌肉瘤可能被误认为其他肿瘤,例如间变性或髓样癌。因此,诊断很困难,需要进行大量的临床,放射学和病理学检查。虚拟幻灯片本文的虚拟幻灯片可以在这里找到:

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