...
首页> 外文期刊>Experimental and therapeutic medicine >Clinical analysis of a patient with a benign lesion of the pharynx misdiagnosed as functional thyroid cancer metastasis
【24h】

Clinical analysis of a patient with a benign lesion of the pharynx misdiagnosed as functional thyroid cancer metastasis

机译:咽部良性病变误诊为功能性甲状腺癌转移的临床分析

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       

摘要

Papillary thyroid carcinoma (PTC) usually has a lower malignancy rate and better prognosis than other types of thyroid cancer. It tends to spread through the lymphatic system, and the percentage of lymph node metastasis to the neck is 50-70% in patients at the time of diagnosis. Iodine-131 (I-131) whole-body scanning is very valuable in the diagnosis and positioning of functional metastatic lesions. However, a variety of comprehensive test results are frequently required to make an appropriate judgment. The present case report describes the case of a patient with PTC where a benign lesion of the pharynx was misdiagnosed as functional metastasis. Some remnant thyroid tissue and an abnormal accumulation of I-131 in the oropharynx and at the right side of the neck were observed by whole-body scanning one week after the first therapeutic dose. Following the second therapeutic dose, quasi-circular trapping of 1311 by the pharynx persisted. Magnetic resonance imaging enhanced scanning of the oropharynx showed markedly uneven enhancement inside the lesion, and it was considered as a metastatic lesion. However, the serological test results of the patient revealed that there was no increase in the thyroglobulin level and did not support the diagnosis of progressive disease. Therefore, a biopsy on the lesion was conducted under local anesthesia. The histopathological examination exhibited salivary gland tissue and chronic inflammation. Thus, it was necessary to analyze the imaging results, as well as serologic testing outcomes and pathological findings comprehensively, in order to make the correct diagnosis.
机译:乳头状甲状腺癌(PTC)通常比其他类型的甲状腺癌具有更低的恶性率和更好的预后。它倾向于通过淋巴系统扩散,在诊断时患者的淋巴结转移至颈部的百分比为50-70%。碘131(I-131)全身扫描对功能性转移性病变的诊断和定位非常有价值。但是,经常需要各种综合测试结果来做出适当的判断。本病例报告描述了PTC患者的情况,其中咽部的良性病变被误诊为功能转移。首次治疗剂量一周后,通过全身扫描观察到一些残留的甲状腺组织,以及I-131在口咽和颈部右侧的异常堆积。在第二次治疗之后,咽部仍持续存在1311的准圆形捕获。磁共振成像对口咽部的增强扫描显示病变内增强明显不均匀,被认为是转移性病变。但是,该患者的血清学检查结果表明,甲状腺球蛋白水平没有增加,也不支持进行性疾病的诊断。因此,在局部麻醉下对病变进行活检。组织病理学检查显示唾液腺组织和慢性炎症。因此,有必要对成像结果,血清学检查结果和病理结果进行综合分析,以做出正确的诊断。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号