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題 名 | 利用細針穿刺和基因分析早期診斷乳突狀甲腺癌頸部軟組織轉移 |
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作 者 | 鄧錦泉; 楊宏志; 林時逸; 李亭儀; 李美芝; 林宏達; | 書刊名 | 中華民國內分泌暨糖尿病學會會訊 |
卷 期 | 12:3=47 1999.04[民88.04] |
頁 次 | 頁28-38 |
分類號 | 415.931 |
關鍵詞 | 乳突狀甲狀腺癌; 細針穿刺; 甲狀腺球蛋白; |
語 文 | 中文(Chinese) |
中文摘要 | 甲狀腺癌發生率並不高,以分化良好型甲狀腺癌居多,預後良好。甲狀腺癌經過初步的治療後,約有20的機會復發,特別是局部淋巴腺轉移最為常見,而頸部腫塊有很多原因,所以準確評估腫塊的原因是診斷和長期追蹤甲狀腺癌轉移重要的關鍵。以往利用殃131掃瞄和超音波導引的傳統細針穿刺檢查細小的腫塊,在敏感性和特異性方面都並非十分理想,最近有學者利用細針穿刺合併基因分析檢查細胞的特殊基因表現,來診斷甲狀腺癌轉移。本實驗利用上述技術診斷術後乳突狀甲狀腺癌復發併有頸部軟組織轉移。病人罹患甲狀腺乳突狀癌,接受過兩次甲狀腺全切除術及破131治療,意外發現有頸部有腫塊,懷疑甲狀腺癌復發,細針穿刺發現來源無法確定之轉移性癌細胞。經進行該腫塊細針穿刺合併基因分析檢查,發現腫塊細胞有甲狀腺球蛋自基因表現,手術後病理組織學檢查證實該為乳突狀甲狀腺癌復發併有頸部軟組織轉移。對於一些分化良好型的轉移癌,利用細針穿刺合併基因分析作早期診斷,對於醫生選擇手術方法、治療計劃和病人預後都有極大的幫助。 |
英文摘要 | Thyroid cancer is not a common disorder and most of them are welldifferentiated thyroid cancer with good prognosis. After initial therapy,about 20 of patients may developed recurrences and the most commonrecurrent sites are local nodal metastases. Since the etiology of nodalenlargement are plenty, accurate determination of the nature of neck massis essential for the long term follow up in patients with thyroid cancer. Thesensitivity and specificity of radioiodine scanning and sono-guide fine needleaspiration cytology in the determination of small mass are not satisfactory.Recently, genetic analysis of the samples obtained from fine needle aspira-tion of the nodal metastases was reported to have high accuracy. In thisstudy, we utilized this technique in the diagnosis of a patient with papillarythyroid cancer recurrence and neck soft tissue metastases. This patientsuffered from papillary thyroid cancer post-thyroidectomy and radioiodinetherapy twice. A neck ma"ss was accidentally found and suspected to havethyroid cancer recurrence. Fine needle aspiration cytology showed metastatic malignant cells with unknown origin. Genetic analysis of the aspirates obtained from fine needle aspiration showed thyroglobulin gene expression. Pathological examination of the surgical specimens confirmed the diagnosis: Papillary thyroid cancer recurrence and neck soft tissue metastases. The early diagnosis of the well differentiated metastatic cancer by geneticanalysis of the aspirates is very helpful in the intraoperative decisionmaking and therapeutic planning for the surgeon, as well as the prognosisof the patients. |
本系統中英文摘要資訊取自各篇刊載內容。