声门上癌转移至甲状腺1例

Q4 Medicine

Japanese Journal of Head and Neck Cancer Pub Date : 2022-01-01 DOI:10.5981/jjhnc.48.308

Kai Kanemoto, Masafumi Yoshida, Asayo Furukawa, N. Kitahara

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引用次数: 1

摘要

声门上癌向甲状腺转移1例:文献中很少报道头颈部癌向甲状腺转移的病例。我们报告一个从声门上癌转移到甲状腺的病例。病例为80岁女性，cT2N3bM0，右侧颈动脉周围淋巴结转移。放疗后给予派姆单抗治疗。Pembrolizumab治疗7个疗程后，CT显示甲状腺低密度区增加。细胞学和组织学上角质化的非典型细胞提示声门上癌甲状腺转移。因转移性病变导致气道狭窄，行气管切开术。转移性甲状腺癌在进展过程中可引起气道狭窄和出血。头颈部鳞状细胞癌治疗过程中，若发现甲状腺有肿瘤病变或甲状腺功能异常，应考虑甲状腺癌转移的可能性。

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A case of metastasis to the thyroid gland from supraglottic cancer

A case of metastasis to the thyroid gland from supraglottic cancer: There are few reports in the literature of metastasis of head and neck cancer to the thyroid gland. We report a case of metastasis to the thyroid gland from supraglottic cancer. The case was an 80-year-old female, cT2N3bM0, with right cervical lymph node metastasis surrounding the carotid artery. She was treated with Pembrolizumab after radiotherapy. CT imaging after seven courses of Pembrolizumab showed an increasing low-density area in the thyroid gland. Keratinized atypical cells on cytology and histology suggested thyroid metastasis of supraglottic carcinoma. Tracheostomy was performed due to airway stenosis caused by metastatic lesions. Metastatic thyroid cancer can cause airway stenosis and bleeding as it progresses. The possibility of metastatic thyroid cancer should be considered when neoplastic lesions or thyroid function abnormalities are observed in the thyroid gland during treatment for squamous cell carcinoma of the head and neck.

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来源期刊

Japanese Journal of Head and Neck Cancer Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

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