甲状舌管乳头状癌1例

Papillary carcinoma in a thyroglossal duct remnant:a case report

本文报道1例发生于青年男性的甲状舌管乳头状癌。患者因发现颈前部肿块2年入院。术前B超、CT及MR示颈前正中部皮下以囊性为主的包块,可见不规则钙化影,增强后未见明显强化,考虑甲状舌管囊肿。行Sistrunk法甲状舌管囊肿切除术,术后病理报告示甲状舌管囊肿合并甲状腺乳头状癌,结合免疫组织化学,符合甲状舌管乳头状癌。

This case report has described a case of papillary carcinoma of thyroglossal duct in a young male.This patient was admitted with a mass in the anterior neck for 2 years.Preoperative B-ultrasonography,CT and MR showed a subcutaneous cystic mass with irregular calcification shadow in the central region of the neck without obvious enhancement.Initial diagnosis was thyroglossal duct cyst,and was excised by Sistrunk under general anesthesia.The postoperative pathological examination showed thyroglossal duct cyst combined with thyroid papillary carcinoma,which was confirmed by immunohistochemistry as thyroglossal duct papillary carcinoma.