FTC, follicular thyroid carcinoma

  • 文章类型: Journal Article
    甲状腺癌,作为最常见的内分泌癌症之一,近年来发病率激增。这很可能是由于其传统诊断方式缺乏特异性和准确性,导致甲状腺结节的过度诊断。虽然有几种治疗选择,它们仅限于手术和131I放射治疗,这些治疗具有显著的副作用,因此不能满足恶性程度非常高的未分化甲状腺癌的治疗需求.利用光吸收的光学成像,折射和散射特性,不仅观察细胞的结构和功能,组织,器官,甚至整个有机体来协助诊断,但也可用于进行光学治疗,以实现甲状腺癌的靶向非侵入性和精确治疗。这些筛选的应用,诊断,和治疗,赋予光学成像在甲状腺癌手术导航领域的潜力。在过去的十年里,光学成像在甲状腺癌诊断和治疗中的研究逐年增长,但是没有发表关于这个主题的全面评论。这里,我们回顾了光学成像在甲状腺癌诊断和治疗中应用的关键进展,并讨论了该技术在临床应用中的挑战和潜力。
    Thyroid cancer, as one of the most common endocrine cancers, has seen a surge in incidence in recent years. This is most likely due to the lack of specificity and accuracy of its traditional diagnostic modalities, leading to the overdiagnosis of thyroid nodules. Although there are several treatment options available, they are limited to surgery and 131I radiation therapy that come with significant side effects and hence cannot meet the treatment needs of anaplastic thyroid carcinoma with very high malignancy. Optical imaging that utilizes optical absorption, refraction and scattering properties, not only observes the structure and function of cells, tissues, organs, or even the whole organism to assist in diagnosis, but can also be used to perform optical therapy to achieve targeted non-invasive and precise treatment of thyroid cancer. These applications of screening, diagnosis, and treatment, lend to optical imaging\'s promising potential within the realm of thyroid cancer surgical navigation. Over the past decade, research on optical imaging in the diagnosis and treatment of thyroid cancer has been growing year by year, but no comprehensive review on this topic has been published. Here, we review key advances in the application of optical imaging in the diagnosis and treatment of thyroid cancer and discuss the challenges and potential for clinical translation of this technology.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Case Reports
    由甲状腺癌引起的转移性胸壁肿瘤并不罕见;然而,滤泡性甲状腺癌(FTC)晚期复发的转移极为罕见。我们的目的是提供一例甲状腺切除术10年后FTC胸壁转移病例的报告。
    在进行的研究中,胸壁肿瘤成像,血清促甲状腺激素测定,胸壁肿瘤组织病理学及甲状腺组织检查。
    一名无症状的28岁女性在为工作申请进行的胸部X射线检查中发现左侧胸壁肿块。她入院前10年有右半甲状腺切除术史,据报道为甲状腺滤泡性腺瘤。计算机断层扫描显示,肿瘤直径为75×50mm,位于左侧椎旁区域。在正电子发射断层扫描中,肿瘤的最大标准化摄取值为7。胸壁肿瘤的trucut活检的组织病理学发现分化型甲状腺癌转移。患者接受了完整的左半甲状腺切除术,胸壁切除和重建。先前检查右半甲状腺切除术材料并诊断为微创FTC。切除的胸壁肿瘤的组织病理学发现与FTC的转移一致。
    虽然极为罕见,即使诊断为良性肿瘤,有甲状腺切除术史的胸壁肿瘤患者在鉴别诊断时应考虑甲状腺癌的晚期转移。
    UNASSIGNED: Metastatic chest wall tumors resulting from thyroid carcinomas are not unusual; however, the late onset of metastasis of a follicular thyroid carcinoma (FTC) is extremely rare. We aim to present a report of a case with chest wall metastasis of an FTC 10 years following thyroidectomy.
    UNASSIGNED: Among the studies performed were chest wall tumor imaging, serum thyroid stimulating hormone determination, and histopathology of the chest wall tumor and thyroid tissue examination.
    UNASSIGNED: An asymptomatic 28-year-old woman was noted to have a left-sided chest wall mass on a chest X-ray performed for a job application. She had a history of right hemithyroidectomy 10 years prior to her admission, which had been reported as a thyroid follicular adenoma. Computed tomography showed a tumor measuring 75 × 50 mm in diameter localized at the left paravertebral region. The maximum standardized uptake value of the tumor was seven in positron emission tomography. Histopathologic finding of the trucut biopsy of the chest wall tumor revealed metastasis of a differentiated thyroid carcinoma. The patient underwent a completion left hemithyroidectomy with chest wall resection and reconstruction. Previous right hemithyroidectomy material was examined and diagnosed as minimally invasive FTC. Histopathologic finding of the resected chest wall tumor was consistent with metastasis of an FTC.
    UNASSIGNED: Although extremely rare, the late metastasis of a thyroid carcinoma should be considered in the differential diagnosis of patients with chest wall tumors who have a previous history of thyroidectomy even with a diagnosis of benign tumor.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Case Reports
    Thyroid carcinoma is uncommon but accounts for roughly 95% of all cancers of the endocrine system (1). The \"well-differentiated\" thyroid tumors include the papillary, follicular, and Hurthle cell subtypes. Although the management of these tumor types generally is similar, important diagnostic and clinical differences do exist (2). We present a case of follicular thyroid carcinoma with spinal metastasis, illustrate its imaging features on CT and MR imaging with histologic correlations, and discuss how vertebral osseous metastasis may influence clinical management of patients with differentiated thyroid cancer.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

公众号