Coexistence of Medullary Carcinoma and Papillary Carcinoma in the Same Lobe of the Thyroid: A Rare Case Report

Qiang Zhang, Yaoqi Wang, Xian-ying Meng, R. Pang, Shuai Yang
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引用次数: 3

Abstract

We report a rare case of coexistence of medullary thyroid carcinoma (MTC) and papillary thyroid carcinoma (PTC) in the right thyroid lobe. A 60-year-old female patient was diagnosed with MTC and PTC after right hemithyroidectomy. The extreme rarity of this pathological feature is discussed. While immunohistochemistry for calcitonin and thyroglobulin suggested histogenesis, cytopathology of the biopsy confirmed MTC and PTC. The coexistence of MTC and PTC differs from the most common mixed tumours as both tumors occurred in the single tissue. In conclusion, this case report not only can improve the clinical diagnosis rate of rare cases, but also can avoid reoperation of the patients, and improve survival and the quality of life.
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甲状腺同叶髓样癌和乳头状癌共存:罕见病例报告
我们报告一个罕见的病例共存髓样甲状腺癌(MTC)和乳头状甲状腺癌(PTC)在右甲状腺叶。一位60岁的女性患者在右半甲状腺切除术后被诊断为MTC和PTC。我们讨论了这种罕见的病理特征。免疫组化检测降钙素和甲状腺球蛋白提示组织发生,细胞病理活检证实MTC和PTC。MTC和PTC的共存不同于最常见的混合性肿瘤,这两种肿瘤都发生在单个组织中。综上所述,本病例报告不仅可以提高罕见病例的临床诊断率,而且可以避免患者的再次手术,提高生存率和生活质量。
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