头颈部鳞状细胞癌偶然发现甲状腺转移-如何处理?

R. Gama, P. Oliveira, M. Teixeira, F. Castro, A. Conde
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摘要

目的:作者旨在回顾有关原发性头颈部鳞状细胞癌(SCC)淋巴结清扫时偶然发现甲状腺癌的现有文献,以潜在地支持对这种意想不到的实体的管理的临床决策。方法:对2例临床病例进行描述,并基于Pubmed®数据库对相关文献进行系统回顾。结果:我们共回顾了102例。SCCs主要发生在喉部、口腔和咽部。甲状腺切除术79例,组织学检查发现甲状腺癌40例,以乳头状亚型为主。结论:头颈部鳞状细胞癌中偶然发现甲状腺癌的情况很少见。选择手术治疗还是保守治疗应根据个体化情况,考虑甲状腺肿瘤本身的生物学特性,主要是考虑原发性头颈部疾病的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidentally Found Thyroid Metastases in Head and Neck Squamous Cell Carcinoma - How to Manage It?
Objectives: The authors aim to review the available literature regarding incidentally found thyroid carcinoma during lymph node dissection for primary head and neck squamous cell carcinoma (SCC), in order to potentially support clinical decision about management of this unexpected entity. Methods: 2 clinical cases are described and a systematic review of the relevant literature on the subject is performed based on Pubmed® database. Results: We reviewed a total of 102 cases. The primary SCCs sites were larynx, oral cavity, and pharynx. Thyroidectomy was performed in 79 cases and thyroid carcinoma was found on histology in 40 cases, mainly papillary subtype. Conclusion: The scenario of thyroid carcinoma incidentally found in head and neck SCC is very unusual. The decision between surgical and conservative management should be made on an individualized basis, considering the biological properties of the thyroid neoplasm itself and, mainly, the prognosis of the primary head and neck disease.
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