功能性转移性滤泡性甲状腺癌并发甲亢的罕见病例

IF 0.9 Q4 ENDOCRINOLOGY & METABOLISM Case Reports in Endocrinology Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI:10.1155/crie/1398125

Yun Ann Chin, Zaheer Sumbul, Yi Lin Teh, Chiaw Ling Chng

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引用次数: 0

摘要

我们报告一例60岁的转移性滤泡性甲状腺癌（FTC）的妇女，在甲状腺全切除术后出现甲状腺毒症和心力衰竭症状。临床特征和调查导致功能性转移性FTC合并甲状腺毒症的诊断。停止左旋甲状腺素治疗，给予丙硫脲嘧啶（PTU）治疗，随后连续放射性碘治疗（RAITs），甲状腺毒症和转移控制良好。尽管患有转移性FTC的疾病负担非常高，但在最初诊断后的4.5年里，她一直能够维持其功能状态。

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A Rare Case of Functional Metastatic Follicular Thyroid Carcinoma With Concomitant Thyrotoxicosis.

We report a case of a 60-year-old lady with metastatic follicular thyroid carcinoma (FTC) who was presented with thyrotoxicosis and heart failure symptoms after total thyroidectomy. Clinical features and investigations led to the diagnosis of functional metastatic FTC with concomitant thyrotoxicosis. Levothyroxine therapy was stopped, and she was treated with propylthiouracil (PTU) followed by serial radioiodine treatments (RAITs) with good control of thyrotoxicosis and metastases. Despite having a very high disease burden with metastatic FTC, she has been able to maintain her functional status thus far, 4.5 years after initial diagnosis.

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