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甲状腺转移性肾透明细胞癌1例报告并文献复习

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目的 探讨甲状腺转移性肾透明细胞癌的临床诊断与治疗,提高对本病的认识,同时复习甲状腺转移性癌的临床知识,方法 分析1例甲状腺转移性肾透明细胞癌的临床与影像、病理学资料,并复习相关文献.结果 甲状腺转移癌术前的明确诊断最好方法是针刺活检,但明确诊断率低;该病多预后不良,患者最终死于广泛播散,不同的是肾癌合并甲状腺转移预后较好;临床上甲状腺转移癌发生率低的原因不能排除与漏诊的关系.结论 甲状腺转移性肾透明细胞癌是罕见的,至今对它的认识也是有限的,甲状腺转移癌的明确诊断最好方法是针刺活检,治疗应结合患者的全身情况、转移灶大小、原发肿瘤是否控制、是否合并其他转移灶等因素制定个体化治疗方案.
Metastatic renal clear cell carcinoma of thyroid:one case report and literature review
Objective To examine the clinical diagnosis and treatment of renal clear cell carcinoma(RCC) transferring to thyroid gland, and review the clinical knowledge of secondary neoplasm in the thyroid gland. Method One patient with RCC was analyzed retrospectively about the clinical and pathological datum. And the correlative literature was reviewed. Results Fine needle aspiration cytology (FNAC) was the best method to diagnose metastasis in thet hy-roid gland before operation,but the percentage was low. This disease often indicated a poor prognosis with the exception of RCC. Conclusion Metastasis in thethyroid gland is uncommon and may be a diagnostic problem. FNAC is the best method to diagnose metastasis in the thyroid gland. We should consummate FNAC as early as we can when we consider this disease, and take the therapy according to the patients condition.

Thyroid NeoplasmspathologyKidney NeoplasmssecondaryAdenocarcinoma, Clear CellsecondaryCase Reports

秦胜旗、张忠涛、李建设、唐克、李培鑫

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首都医科大学附属北京友谊医院普外科,北京100050

甲状腺肿瘤/病理学 肾肿瘤/继发性 腺癌,透明细胞/继发性 病例报告

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(15)
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