Tiroidde meme karsinomu metastzı: Olgu sunumu
Küçük Resim Yok
Tarih
2006
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Tiroidin metastatik hastalıkları nadir görülür. Bu makalede tiroide metastaz yapan bir meme kanseri olgusu sunduk. Altmış yaşındaki kadın hasta boyunda şişlik nedeniyle hastaneye başvurdu. Fizik muayenesinde tiroidde diffüz büyüme ve boyunda lenfadenopati saptandı. Olguya total tiroidektomi ve servikal lenfadenektomi uygulandı. Her iki spesimende histopatolojik olarak invaziv duktal karsinom metastazı saptandı. Öyküsünden 15 yıl önce hastaya sol memesindeki kitle nedeniyle, mastektomi ve aksiler diseksiyon yapıldığı ve invaziv duktal karsinom ve lenf nodu metastazı tanısı aldığı öğrenildi. Klinik hikayesinde daha önce malignensi olan hastalarda, primer tümör yıllar önce tedavi edilse bile, tiroiddeki kitle lezyonlarının ayırıcı tanısında metastatik hastalıklar yer almalıdır.
Metastatic cancer to the thyroid is uncommon. In this report we present a case of breast cancer metastatizing to the thyroid. A 60-years old female patient was admitted to the hospital presenting with a mass on the neck. Physical examination revealed a diffusely enlarged thyroid gland and cervical lymphadenopathy. Total thyroidectomy and cervical lymphadenectomy were performed. The histopathologic diagnosis was metastasis of invasive ductal carcinoma to the thyroid gland and lymph nodes. On history, mastectomy and axillary disection performed 15 years ago due to invasive ductal carcinoma of the breast with lymph node metastasis were present. A thyroid mass in a patient with a history of previous malignancy treated years ago should be evaluated with a differential diagnosis of metastasis.
Metastatic cancer to the thyroid is uncommon. In this report we present a case of breast cancer metastatizing to the thyroid. A 60-years old female patient was admitted to the hospital presenting with a mass on the neck. Physical examination revealed a diffusely enlarged thyroid gland and cervical lymphadenopathy. Total thyroidectomy and cervical lymphadenectomy were performed. The histopathologic diagnosis was metastasis of invasive ductal carcinoma to the thyroid gland and lymph nodes. On history, mastectomy and axillary disection performed 15 years ago due to invasive ductal carcinoma of the breast with lymph node metastasis were present. A thyroid mass in a patient with a history of previous malignancy treated years ago should be evaluated with a differential diagnosis of metastasis.
Açıklama
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Ege Tıp Dergisi
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Cilt
45
Sayı
1
