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A case of mixed medullary and follicular cell carcinoma of the thyroid Naokazu Miura 1 , Nobuhiko Kimura 2 , Yasushi Fujino 2 1Department of Otorhinolaryngology, Hiroshima City Hospital Keyword: 甲状腺癌 , 髄様癌 , 濾胞癌 , 混合性髄様濾胞細胞癌 pp.682-686
Published Date 2022/7/20
DOI https://doi.org/10.11477/mf.1411203096
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 The patient was a 59-year-old woman with anterior neck pain. A tumor was observed in the thyroid gland on neck echography, and she was referred to our hospital. A tender 3 cm tumor was palpable in the right lobe of the thyroid gland, causing paralysis of the right vocal cord. The cytological classification of the thyroid tumor was class Ⅴ, and imaging indicated suspected metastasis in the lymph nodes in the lateral neck region. Following the diagnosis of cT4aN1bM0, total thyroidectomy and right neck dissection were performed. In the postoperative pathological diagnosis, a mixture of medullary carcinoma tissue with amyloid deposits and follicular tissue containing colloids. In addition, mixed lesions similar to those of the primary lesion were observed in multiple metastatic cervical lymph nodes. Based on the above findings, the patient was diagnosed with mixed medullary and follicular cell carcinoma. Five years have passed since the operation, but no recurrence has been observed.


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電子版ISSN 1882-1316 印刷版ISSN 0914-3491 医学書院

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