甲状腺多发乳头状癌伴侧颈及咽旁重度广泛转移1例

Multiple papillary carcinoma of thyroid with extensive metastasis of the lateral neck and parapharyngeal:a case report

病例报告患者,男,主因"发现颈部肿物3个月余,伴增大1周余"入院.患者3个月前无明显诱因发现右侧颈部肿物,约"豌豆"大小,无特殊不适,未特殊治疗.1周前肿物逐渐增大,约"鹌鹑蛋"大小,性质同前,后去医院就诊并行颈部彩超示:甲状腺双叶结节,较大者位于右叶中份,约24mm×16mm×19mm,TIRADS4c类,双颈部实性占位伴钙化,提示癌转移.

Thyroid papillary carcinoma(PTC)is the most common type of thyroid cancer.The 2017 NCCN guidelines reported that PTC accounts for 89.4%of thyroid cancer,and papillary thyroid cancer is well known to most head and neck surgeons due to its weak invasiveness,good surgical excision rate and low recurrence rate.However,as the treatment progresses,we may also touch the rapidly progressing PTC,or even the paropharyngeal metastasis in a short period of time,and the reported rate is 0.43%to 2.5%.