乳突癌是一個常見的甲狀腺惡性腫瘤,最常見的轉移部位是淋巴結、肺部以及骨頭。但乳房轉移則非常少見。在現有的英文文獻中只有三例報告,我們提出一例甲狀腺乳突癌合併乳房轉移的案例。一個43歲的婦人被診斷爲甲狀腺乳突癌,接受全甲狀腺切除手術。而在術後9個月被診斷出合併有乳房轉移。經過了外科以及I-131的治療,追蹤到目前爲止已27個月,並沒有任何復發的現象。局部乳房切除手術加上I-131的治療到目前爲止對這個病人是合適的治療方式。
Papillay carcinoma is a common thyroid malignancy. It metastasizes predominantly to the lymph node, lungs and bones. Breast metastasis is extremely rare. Only three cases have been reported in the English literature. A 43-year-old female who was diagnosed to have papillary carcinoma of the thyroid underwent total thyroidectomy. After operation, I-^131 ablation therapy was given. Breast metastasis was found 9 months later. After breast tumor excision and second I-^131 ablation therapy, she has so far remained disease-free for 27 months. Local excision of the breast metastastic lesion with high dose I-^131 treatment appeared to be an appropriate option for this patient.