Metastatic papillary thyroid carcinoma presenting as a primary renal neoplasm.
Metastatic papillary thyroid carcinoma presenting as a primary renal neoplasm.
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发表时间：
1995-08
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通讯作者：
Graham Ld;Roe Sm
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作者：
Graham Ld;Roe Sm
临床可检测到的甲状腺癌转移至肾脏的情况很少见，医学文献中仅报告了六例。其中 4 例为滤泡状癌，1 例为乳头状癌，1 例为甲状腺腺瘤。所有这些人在发生肾转移之前都患有甲状腺肿瘤。我们在此报告第七例甲状腺癌肾转移病例，其独特之处在于肾转移的诊断先于原发性甲状腺肿瘤的认识。此外，本例中存在的乳头状癌的滤泡性变异，此前尚未在甲状腺癌肾转移中被描述过。肾转移瘤的治疗导致了原发性甲状腺癌的随后发现和治疗。该患者接受了肾切除术和甲状腺全切除术，术后 3 年仍存活且无病。甲状腺癌转移至肾脏的情况在临床上很少见，但可以接受治疗并取得良好的长期效果。
Clinically detectable thyroid cancer metastatic to the kidney is rare, with only six cases reported in the medical literature. Four of these have been follicular carcinoma, one papillary carcinoma, and one described as a thyroid adenoma. All of these had known thyroid neoplasms prior to development of their renal metastases. We report herein a seventh case of thyroid carcinoma metastatic to the kidney, unique in that the diagnosis of the kidney metastasis preceded the knowledge of the primary thyroid neoplasm. Furthermore, the follicular variant of papillary cancer, present in this case, has not been previously described in renal metastases from thyroid cancer. Treatment of the kidney metastases led to the subsequent discovery and treatment of the primary thyroid cancer. The patient underwent nephrectomy followed by total thyroidectomy, and is alive and disease-free 3 years postoperatively. Thyroid cancer metastatic to the kidney is rare clinically, but can be amenable to treatment with good long term results.