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題名 | 甲狀舌管囊腫內之乳突癌--病例報告=Papillary Carcinoma in a Thyroglossal Duct Cyst--Case Report |
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作 者 | 劉文川; 蕭錦棋; 蕭信昌; 張正權; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 35:1 民89.01-02 |
頁次 | 頁64-66 |
分類號 | 416.213 |
關鍵詞 | 乳突癌; 甲狀舌管囊腫; Papillary carcinoma; Thyroglossal duct cyst; |
語文 | 中文(Chinese) |
中文摘要 | 甲狀舌管囊腫是甲狀腺發展過程中最常發生的先天性異常,也是最常見的頸部囔腫。其病理多為良性,惡性病變約佔1%,且組織類別近似甲狀腺癌,以乳突癌(75-85%)最常見。自從Bretano於1911年發表第1篇起源於甲狀舌管囊腫的惡性腫瘤報告後,迄今約有150件病例被發表。有關癌細胞的起源仍存有爭議,因此對於手術方式也有不同的看法。在此謹提出1例源自甲狀舌管囊腫之乳突癌病例,並對其臨床診斷及治療加以討論。 |
英文摘要 | Thyroglossal duct cyst is the most common developmental anomaly of the thyroid gland. It is also the most common cystic lesion of the neck. Generally, duct cysts are benign. However, 1% of cases are malignant. They present with the same histologic type as thyroid carcinomas. The most frequent histologic appearance is papillary carcinoma, seen in 75-85% of cases. Since first reported by Bretano in 1911, fewer than 150 cases have been reported. We report on a 30-year-old woman with a midline neck mass, which had been presented for 1 year and was growing in size. She underwent a Sistrunk procedure for a presumed thyroglossal duct cyst. Pathologic examination confirmed a papillary carcinoma in the cyst. Subsequent total thyroidectomy, postoperative radioiodine abla-tion and thyroxine suppression therapy were performed because of invasion of the cystic wall by cancer. The patient tolerated the procedures well. She has been maintained on thyroxine suppression and has remained symptom-free at 12 months after the procedures. |
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