关键词: bone metastasis hürthle cell carcinoma imaging management pathology thyroid carcinoma

来  源:   DOI:10.7759/cureus.53717   PDF(Pubmed)

Abstract:
We present the case of a 56-year-old male patient diagnosed with Hürthle cell carcinoma (HCC) that developed widespread metastasis in bone, lung, and lymph nodes with a larger tumor located in the right tibia. The patient was only disturbed by the pain, discomfort, and disability linked to the tibial metastasis. After careful consideration, the best course of action was considered to be the surgical excision of the proximal right tibia with arthroplasty using the C LINK Megaprosthesis tumor revision system. Histological and immunohistochemical analyses were conducted on the tibial resection specimen. In addition, a comprehensive review of prior histological specimens from the primary thyroid tumor, lymph nodes, and lung was undertaken to evaluate the prognosis and provide guidance for the postoperative management of the patient.
摘要:
我们介绍了一名56岁的男性患者,该患者被诊断患有Hürthle细胞癌(HCC),该患者在骨骼中发生了广泛的转移,肺,和右侧胫骨有较大肿瘤的淋巴结。病人只是被疼痛困扰,不适,残疾与胫骨转移有关.经过仔细考虑,最佳的治疗方案被认为是使用CLINKMegatrovate肿瘤翻修系统,通过关节成形术手术切除右胫骨近端.对胫骨切除标本进行组织学和免疫组织化学分析。此外,对原发性甲状腺肿瘤的组织学标本进行全面回顾,淋巴结,和肺进行评估预后并为患者的术后管理提供指导。
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