METHODS: An 11-year-old female was admitted to the hospital for one week due to nasal pain without an obvious cause and blood in the nose. A pale red mass with a peduncle at the back end of the right nasal septum was seen during the operation. Immunohistochemistry showed low-grade papillary thyroid carcinoma.
UNASSIGNED: Surgeons should be alert to the possibility of ectopic thyroid tissue and related diseases, Patients with suspected malignant lesions should undergo routine pathological examination, and even a normal thyroid should be checked for malignant changes to avoid negative outcomes.
CONCLUSIONS: Although nasal endoscopic surgery is mature, for tumors with unclear properties, it is still necessary to undergo routine pathological examination to avoid habitual errors.
方法:一名11岁的女性因没有明显原因的鼻痛和鼻子中的血液而入院一周。手术期间在右鼻中隔后端看到浅红色肿块,有花梗。免疫组织化学显示低度甲状腺乳头状癌。
■外科医生应警惕异位甲状腺组织和相关疾病的可能性,疑似恶性病变的患者应进行常规病理检查,即使是正常的甲状腺,也应该检查恶性变化,以避免负面结果。
结论:尽管鼻内镜手术已经成熟,对于性质不明确的肿瘤,仍然有必要进行常规病理检查,以避免习惯性错误。