PDF(Pubmed)
Abstract：
A 60-year-old woman presented to the Department of Surgery with an anterior neck mass and a mass on her left forehead. She was diagnosed with follicular thyroid cancer with metastasis to the skull, a rare presentation of follicular thyroid cancer that is associated with a poor prognosis. A multidisciplinary team evaluated the patient and devised a 3-staged surgical management plan: total thyroidectomy with central lymph node dissection, cranial metastasectomy, and cranioplasty with autologous split rib graft. This case illustrates how innovative multidisciplinary surgical management can be applied in a low-resource setting involving 3 surgical sub-specialties for the best possible outcome in a patient with metastatic follicular thyroid cancer.
摘要：
一名60岁的妇女出现在外科部门，她的前颈部肿块和左额头上的肿块。她被诊断出患有滤泡性甲状腺癌并转移到头骨，与不良预后相关的滤泡性甲状腺癌的罕见表现。一个多学科小组对患者进行了评估，并制定了3阶段的手术管理计划：甲状腺全切除术和中央区淋巴结清扫术，颅骨转移瘤切除术,自体裂开肋骨移植颅骨修补术。这个案例说明了如何在涉及3个外科亚专科的低资源环境中应用创新的多学科外科管理，以实现转移性滤泡性甲状腺癌患者的最佳结果。
