雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Follicular Variant of Thyroid Papillary Carcinoma with General Metastases including Pleuritis Carcinomatosa:a case report Nobuhiro Takeuchi 1 , Shuho Semba 2 , Kazuyoshi Naba 3 , Yusuke Nomura 1 , Masato Iida 1 , Akihito Otsuka 1 , Tetsuo Maeda 1 , Hidetoshi Tada 1 , Tadashi Nakamura 1 , Kikuo Ichihara 1 1Department of Internal Medicine, Kawasaki Hospital 2Division of Pathology, Department of Pathology, Kobe University Graduate School of Medicine 3Department of Laboratory Medicine, Kawasaki Hospital Keyword: 甲状腺濾胞型乳頭癌 , 癌性胸膜炎 , follicular variant of thyroid papillary carcinoma , pleuritis carcinomatosa pp.975-981
Published Date 2013/10/15
DOI https://doi.org/10.11477/mf.1404102328
  • Abstract
  • Look Inside
  • Reference

 An 82-year-old man with a history of cerebral hemorrhage, hypertension, atrial fibrillation, and deep venous thrombosis was admitted to our institution for the evaluation of right pleural effusion. Cytodiagnosis revealed the presence of an adenocarcinoma, whereas computed tomography and magnetic resonance imaging indicated the presence of multiple lung and bone metastases, adrenal metastasis, and a right thyroid tumor with calcification. Moreover, fine-needle aspiration biopsy of the thyroid indicated the presence of malignant cells, leading to a diagnosis of thyroid carcinoma with general metastases including malignant pleural effusion. Because of the patient's advanced age and poor performance status, he was provided with the best supportive care possible;however, he died of respiratory failure due to malignant pleural effusion on day 42 after admission. Subsequently, an autopsy was performed with his family's consent. Pathological examination indicated the presence of follicular variant of papillary thyroid carcinoma and showed the presence of cancer cells in lymph and vascular vessels. Therefore, in this case, thyroid cancer cells might have spread systemically through lymphogenous and hematogenous routes. Usually, follicular variant of papillary thyroid carcinoma metastasizes via the lymphogenous route and rarely metastasizes via the hematogenous route. Furthermore, papillary thyroid carcinoma is rarely complicated with malignant pleural effusion. Thus, this case presentation is atypical and requires appropriate consideration to facilitate accurate and prompt diagnosis in future patients.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有