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首页> 外文期刊>JAMA otolaryngology-- head & neck surgery >Occult Multifocal Papillary Thyroid Microcarcinoma Presenting as a Supraclavicular Mass Containing Anaplastic Thyroid Carcinoma
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Occult Multifocal Papillary Thyroid Microcarcinoma Presenting as a Supraclavicular Mass Containing Anaplastic Thyroid Carcinoma

机译：隐匿性多灶性乳头状甲状腺微癌，表现为锁骨上变质性间变性甲状腺癌。

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Importance: There are reports in the literature of ana-plastic thyroid carcinoma in cervical lymph nodes with evidence of only papillary carcinoma in the thyroid gland. There have been no cases of this clinical scenario with only papillary microcarcinoma in the thyroid gland.Observations: We describe the case of a 60-year-old man who initially presented with an enlarged right, level 5, supraclavicular lymph node. Initial fine-needle aspiration demonstrated evidence of papillary thyroid carcinoma. The final pathologic finding in the thyroid gland showed only multiple foci of papillary thyroid microcarcinoma. The index neck mass showed evidence of ana-plastic thyroid carcinoma.Conclusions and Relevance: This is the first instance in the literature in which anaplastic thyroid carcinoma has appeared in metastatic cervical lymph nodes with only a focus of papillary microcarcinoma in the thyroid gland. With this case, we hope to build awareness of this rare finding.
机译：重要性：有文献报道在子宫颈淋巴结中存在间变性甲状腺癌，只有甲状腺乳头状癌的证据。没有这种临床情况的病例是甲状腺仅有乳头状微癌。观察：我们描述了一个60岁男性的病例，该男性最初表现为右锁骨上淋巴结肿大5级。最初的细针穿刺证实有甲状腺乳头状癌的证据。在甲状腺的最终病理发现仅显示了甲状腺乳头状微癌的多个病灶。食指颈部肿块显示出间变性甲状腺癌的证据。结论和相关性：这是文献中首次出现间变性甲状腺癌出现在转移性宫颈淋巴结中，仅在甲状腺的乳头状微癌灶。在这种情况下，我们希望提高对这一罕见发现的认识。

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