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首页> 外文期刊>Case Reports in Otolaryngology >Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review
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Surgical Treatment of a Patient with a Solitary Thyroid Metastasis from Primary Sigmoid Adenocarcinoma: A Case Report and Literature Review

机译：患有原发性乙状体腺癌的孤立甲状腺转移的患者的手术治疗：案例报告和文献综述

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摘要

Malignant metastases to the thyroid are rare and even rarer from colorectal cancer (CRC). Most cases of CRC metastasis to the thyroid involve metastases to other organs as well, particularly the liver and/or lung. There are only three reports of CRC metastasizing to the thyroid without involvement of another site. Patients with solitary thyroid metastasis from CRC have a poor prognosis after surgery, whereas resection is beneficial in their counterparts with a solitary liver or lung metastasis. This difference could be the result of delayed diagnosis of thyroid metastasis in patients with CRC, given that postoperative follow-up examination of the thyroid is not routinely performed. Here we describe a patient who was found to have a solitary metastasis of sigmoid cancer to the thyroid on postoperative imaging and has had prolonged disease-free survival after thyroidectomy. Our experience suggests that a low threshold of suspicion is crucial for timely diagnosis of thyroid metastasis from CRC and that resection can improve disease-free survival.
机译：甲状腺的恶性转移是罕见的，甚至来自结肠直肠癌（CRC）。大多数情况下，CRC转移到甲状腺的情况也将转移涉及其他器官，特别是肝脏和/或肺部。只有三个CRC转移到甲状腺的报告，而不会参与另一个地点。来自CRC的孤独甲状腺转移的患者在手术后预后差，而切除在其对应于肝脏或肺转移的同行中是有益的。鉴于未常规进行甲状腺的术后随访检查，这种差异可能是CRC患者中甲状腺转移的诊断结果的结果。在这里，我们描述了一个患者被发现在术后成像上与甲状腺孤立的乙状腺癌转移的患者，并且在甲状腺切除术后已经长期无病的存活。我们的经验表明，低阈值的怀疑对于及时诊断CRC的甲状腺转移至关重要，并且切除术可以改善无病的存活。

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