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甲状舌管癌1例报告并文献复习
作者:孙宝宾1 姚青2 郑春泉3 张凤兵4 顾建森4 
单位:1.复旦大学附属眼耳鼻喉科医院,耳鼻喉科,上海,200031;东南大学附属中大医院,耳鼻咽喉科,江苏,南京,210009; 2.东南大学附属中大医院,病理科,江苏,南京,210009; 3.复旦大学附属眼耳鼻喉科医院,耳鼻喉科,上海,200031; 4.东南大学附属中大医院,耳鼻咽喉科,江苏,南京,210009
关键词:甲状腺肿瘤 病例报告 
分类号:R736.1
出版年·卷·期(页码):2003·22·第四期(260-262)
摘要:

目的:报告1例甲状舌管乳头状癌的处理和结果,以加深对甲状舌管癌的认识.方法:回顾分析1例甲状舌管乳头状癌患者的临床资料,并结合文献对甲状舌管癌的起源、组织学类型、临床表现、诊断、治疗及预后进行讨论.结果:甲状舌管癌术前诊断困难,多需甲状舌管囊肿切除术后的病理标本来确诊,乳头状癌预后良好.本例患者随访至今近5年,未复发.结论:切除的甲状舌管囊肿应行常规病理检查,以防漏诊,并对患者作定期随访.

Objective  To report the management and outcome of one case of thyroglossal duct papillary carcinoma and make a relevant literary review of the tumor.Methods  A retrospective study was made on the clinical data of one case of thyroglossal duct papillary carcinoma.With a literary review,the genesis,histological types,clinical manifestation,diagnosis,therapy and prognosis of thyroglossal duct carcinoma were discussed.Results  In most cases,the diagnosis was established only after excision of a clinically benign thyroglossal duct cyst.Papillary carcinoma was the most common pathologic type and the prognosis was preferable in patients with papillary tumor.This case has been followed up for nearly 5 years and no relapse occurs.Conclusion  All the samples of excised thyroglossal duct cyst should undergo biopsy to prevent misdiagnosis.Regular postoperative follow-up is mandatory.

参考文献:

[1] HESHMATI H M, FATOURECHI V, van HEERDEN J A. Thyroglossal duct carcinoma:report of 12 cases. 1997(4). doi:10.4065/72.4.315
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[7] HILGER A W, THOMPSON S D, SMALLMAN L A. Papillary carcinoma arising in a thyroglossal duct cyst:a case report and literature review, 1995(11)
[8] BARDALES R H, SUHRLAND M J, KOROUIAN S. Cytologic findings in thyroglossal duct carcinoma, 1996(5)
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[10] GLASTONBURY C M, DAVIDSON H C, HALLER J R. The CT and MR imaging features of carcinoma arising in thyroglossal duct remnants. 2000(4) 

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