甲状腺内胸腺癌1例

赖小龙, 许贞菊, 吴策, 等. 甲状腺内胸腺癌1例[J]. 临床耳鼻咽喉头颈外科杂志, 2025, 39(1): 87-90. doi: 10.13201/j.issn.2096-7993.2025.01.018
引用本文: 赖小龙, 许贞菊, 吴策, 等. 甲状腺内胸腺癌1例[J]. 临床耳鼻咽喉头颈外科杂志, 2025, 39(1): 87-90. doi: 10.13201/j.issn.2096-7993.2025.01.018
LAI Xiaolong, XU Zhenju, WU Ce, et al. Intrathyroid thymic carcinoma: report of a case[J]. J Clin Otorhinolaryngol Head Neck Surg, 2025, 39(1): 87-90. doi: 10.13201/j.issn.2096-7993.2025.01.018
Citation: LAI Xiaolong, XU Zhenju, WU Ce, et al. Intrathyroid thymic carcinoma: report of a case[J]. J Clin Otorhinolaryngol Head Neck Surg, 2025, 39(1): 87-90. doi: 10.13201/j.issn.2096-7993.2025.01.018

甲状腺内胸腺癌1例

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Intrathyroid thymic carcinoma: report of a case

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  • 甲状腺内胸腺癌(intrathyroid thymic carcinoma,ITTC)是一种罕见的甲状腺肿瘤,缺乏典型的临床表现及影像学特征,术前诊断较为困难,根治性手术治疗是其首选的治疗方式,术后是否辅以放化疗,尚无明确结论。本文报道1例ITTC患者,分析该病例临床资料并结合相关文献,探讨ITTC的临床表现、诊疗及预后。
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  • 图 1  图 1   电子纤维喉镜见右侧声带麻痹,左侧声带活动好,声门闭合不全;  图 2   甲状腺超声见右叶低回声结节;  图 3   颈部CT增强扫描    3a:甲状腺右叶上极未见肿瘤累及;3b:肿瘤粒子甲状腺右叶后下方表现为低密度肿块影,且与气管、食管分界不清;3c:未见肿瘤累及;   图 4   病理检查结果   4a:癌细胞呈不规则巢团状浸润生长,细胞核不规则,核仁不明显,核质比增大,异型性显著(HE×200);4b:免疫组织化学结果示癌细胞P40呈阳性表达(SP×200);4c:免疫组织化学结果示癌细胞CD5呈阳性表达(SP×200);4d:免疫组织化学结果示癌细胞CD117呈阳性表达(SP×200)。

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出版历程
收稿日期:  2024-02-03
修回日期:  2024-04-02
刊出日期:  2025-01-03

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