自身免疫性甲状腺炎背景下的罕见甲状腺癌。

E. Ryabchenko
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摘要

甲状腺硬化性粘液表皮样癌(SMCTG)是最近才被发现的一种甲状腺恶性肿瘤。1991年首次报道了SMCTG。这种肿瘤可能与桥本氏甲状腺炎(TX)同时发生。甲状腺粘液表皮样癌有两种变体:普通变体和硬化变体。最近,SMCTG被世卫组织认定为一种独立的疾病。本文介绍了一个51岁女性甲状腺粘液表皮样癌的临床病例,根据细针穿刺活检(FNA)的数据,该病例是在TX背景下的滤泡性肿瘤。患者接受了筋膜外甲状腺切除术。患者持续观察了 10 个月。本研究旨在展示一个临床病例,该患者在自身免疫性甲状腺炎的背景下接受手术治疗后被诊断为甲状腺硬化性粘液表皮样癌。临床病例描述。我们提供的临床病例是一名51岁的女性患者,她因自身免疫性甲状腺炎伴有结节而接受了2年的观察。患者没有任何压迫症状或体征。促甲状腺激素(TSH)水平为 15.8(范围 0.4-4.0),过氧化物酶抗体(AT-TPO)-150 Iu/ml。甲状腺闪烁扫描显示,腺体右叶有一个明显的冷结节(1.52 厘米)。在对照组颈部超声检查中,观察到阴性动态,对甲状腺结节(甲状腺)进行了细针穿刺活检(FNA),在TH的背景下发现了一个滤泡性肿瘤,这就是及时治疗的原因。
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RARE FORM OF CANCER OF THYROID GLAND ON THE BACKGROUND OF AUTOIMMUNE THYROIDITIS.
Sclerosing mucoepidermoid carcinoma of the thyroid gland (SMCTG)is a recently recognized malignant neoplasm of the thyroid gland. For the first time about SMCTG was reported in 1991. This type of tumor may develop in connection with Hashimoto's thyroiditis (TX). There are two variants of mucoepidermoid carcinoma of the thyroid gland: the usual and sclerosing variants. SMCTG has recently been recognized by WHO as a separate disease. The paper presents a clinical case with MCLC in a 51-year-old woman who, according to the data of a fine needle aspiration biopsy (FNA)- follicular tumor on the background of TX. Extrafascial thyroidectomy was performed. The patient remained under observation for 10 months. The aim of the study was to demonstrate a clinical case of a patient after surgical treatment with a diagnosis of sclerosing mucoepidermoid carcinoma of the thyroid gland against the background of autoimmune thyroiditis. Description of the clinical case. We present a clinical case of a 51-year-old woman who was observed for 2 years for autoimmune thyroiditis with node. The patient had no symptoms or signs of compression. The level of thyroidstimulating hormone (TSH) was 15.8 (range 0.4-4.0), antibodies to peroxidase (AT-TPO)-150 Iu/ml. Scintigraphy of the thyroid gland revealed a dominant cold node (1.52 cm) in the right lobe of the gland. During the control ultrasound examination of the neck, negative dynamics was observed, a fine needle aspiration biopsy (FNA) of the thyroid node (thyroid gland) was performed a follicular tumor was obtained against the background of TH, which was the reason for timely treatment.
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