临床误诊误治2024,Vol.37Issue(9) :20-24.DOI:10.3969/j.issn.1002-3429.2024.09.005

以颈部肿块首发男性甲状腺乳头状癌误诊分析

Analysis of Misdiagnosis of Papillary Thyroid Carcinoma in Males with Neck Mass as the Initial Symptom

孔繁玲 肖红霞 马常娥
临床误诊误治2024,Vol.37Issue(9) :20-24.DOI:10.3969/j.issn.1002-3429.2024.09.005

以颈部肿块首发男性甲状腺乳头状癌误诊分析

Analysis of Misdiagnosis of Papillary Thyroid Carcinoma in Males with Neck Mass as the Initial Symptom

孔繁玲 1肖红霞 1马常娥1
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作者信息

  • 1. 734000 甘肃 张掖,河西学院附属张掖人民医院内分泌肾病科
  • 折叠

摘要

目的 分析男性甲状腺乳头状癌(papillary thyroid carcinoma,PTC)误诊的原因及防范误诊措施.方法 回顾性分析2018 年2 月—2022 年3 月收治2 例曾误诊的男性PTC的临床资料.结果 2 例均因发现颈部肿块就诊,经颈部彩超、CT检查考虑为囊性淋巴管瘤、鳃裂囊肿各1 例.2 例经手术病理检查确诊为PTC,其中1 例伴颈部淋巴结转移.误诊时间分别为22、14 d.2 例确诊后均行甲状腺全切术及颈部淋巴结清扫术治疗,术后分别随访 1 年、半年,预后较好,均未见复发.结论 男性PTC临床表现无特异性,应加强对该病的认识,提高警惕性,仔细查体,认真鉴别诊断,及早行甲状腺超声、CT检查甚至病理检查,以提高本病术前诊断率.

Abstract

Objective To analyze the causes and preventive measures of misdiagnosis of papillary thyroid carcinoma(PTC)in males.Methods The clinical data of 2 male patients with misdiagnosed PTC admitted from February 2018 to March 2022 were retrospectively analyzed.Results Two patients presented with cervical mass,and cystic lymphangioma and branchial cleft cyst were considered by color Doppler ultrasonography and CT.PTC was confirmed in 2 patients by surgical and pathologic examination,1 of which was accompanied by cervical lymph node metastasis.The duration of misdiagnosis was 22 d and 14 d respectively.Total thyroidectomy and cervical lymph node dissection were performed in 2 patients after diagnosis.The prognosis was good at 6 months and 1 year after follow-up respectively.No recurrence was observed.Conclusion The clinical manifestations of PTC in males are non-specific.It is necessary to strengthen the understanding of PTC,enhance vigi-lance,carefully perform physical examination and differentiate diagnosis,and perform timely thyroid ultrasound,CT and even pathological examination,to improve the preoperative diagnosis rate of this disease.

关键词

甲状腺肿瘤/癌,乳头状/误诊/淋巴管瘤,囊状/鳃原瘤/超声检查/甲状腺切除术/手术病理

Key words

Thyroid neoplasms/Carcinoma,papillary/Misdiagnosis/Lymphangioma,cystic/Branchioma/Ultra-sonography/Thyroidectomy/Surgical pathology

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出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量20
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