双原发性甲状腺乳头状癌肺腺癌1例报告及临床思考

Multiple Primary Carcinoma Papillary Thyroid Carcinoma and Lung Adenocarcinoma: A Case Report and Clinical Considerations

目的:深化核医学医师对多原发癌的认识,提升对分化型甲状腺癌患者胸部结节的重视度。方法:全程记录1例病理结果明确的双原发性甲状腺乳头状癌肺腺癌病例的诊治过程,查阅相关文献资料,整理、总结处置方法。结果:对于分化型甲状腺癌合并肺部结节的患者,根据目前已有的检查手段,若不能完全排除转移灶的肺部结节,这类患者需要更加勤勉地进行观察、随访。结论:核医学医师在临床工作中应充分认识多原发癌存在的可能性,采用多种检查方法提高患者肺部结节早期诊断率,不能盲目给予131-碘治疗。

Objective: To deepen the understanding of nuclear medicine physicians on multiple primary carcinoma and to enhance the importance of pulmonary nodules in patients with differentiated thyroid carcinoma. Methods: A case of multiple primary carcinoma papillary thyroid carcinoma and lung adenocarcinoma with definite pathological results was recorded. The relevant literature was consulted and the treatment methods were summarized. Results: For patients with differentiated thyroid carcinoma complicated with pulmonary nodules, according to the existing examination methods, if the pulmonary nodules with metastases cannot be completely excluded, these patients need more diligent observation and follow-up. Conclusion: Nuclear medicine doctors should fully understand the possibility of multiple primary carcinoma in clinical work, and adopt multiple examination methods to improve the early diagnosis rate of pulmonary nodules, instead of blindly giving 131 iodine treatment.