不寻常组合:Kartagener综合征伴甲状腺乳头状癌1例

Kartagener syndrome and papillary thyroid carcinoma:an unusual combination

1病例报告患者,男,61岁。因“鼻塞、流浓涕2年,加重2个月”于2012年9月7日入院。2年前患者出现鼻塞症状,此后鼻塞逐渐加重,并伴脓涕、头痛、夜间睡眠打鼾等症状。无明显咳嗽、咳痰、胸闷及呼吸困难。近2年来右耳听力有所下降,无耳鸣。儿童时曾有“反复肺炎”病史。父母体健,非近亲结婚,无家族性先天性心脏病史。入院体检：体温36.5℃,

A case of a papillary thyroid carcinoma in a patient with situs inversus with associated bronchiectasis and chronic sinusitis （Kartagener＇s syndrome） is reported. A 61-year old male patient has the symptoms of na sal obstruction, nasal purulent discharge and headache for 2 years. Physical examination： right nasal purulent in right nasal cavity and multiple lychee-like opaque mass in right middle meatus. A nodule, one centimeter in diame ter, locates in the upper pole of right thyroid. Evidence of full situs inversus viscerum can be confimmed by chest radiographs and ultrasound doppler. Pathology： right nasal polyps, the right small papillary thyroid cancer. TEM Tip primary ciliary dyskinesia. Clinical diagnosis： Kartagener syndrome, papillary thyroid carcinoma （T1aN0M0, I period）, chronic sinusitis-nasal polyps.