Papillary Thyroid Carcinoma with Pleural Metastasis: A Case Report

乳凸狀甲狀腺細胞癌併肋膜轉移及肋膜積液：病例報告

周振興(Chen-Hsing Chou) ； 朱國安(Kuo-An Chu) ； 盧朝勇(Jau-Yeong Lu) ； 王鴻昌(Hong-Chung Wang)

《胸腔醫學》 15卷3期 (2000/09) Pp. 146-151

摘要

乳凸狀甲腺細胞癌是一種進展緩慢的腫瘤，有較低的轉移比例。最常見的轉移部位為頸部淋巴腺，肺部及骨頭。併有肋膜轉移是一種很少見的情況，且常是病患預後不好的指標。我們報導一個女性病患，先前有乳凸狀甲狀腺細胞癌接受甲狀腺全切除手術。手術一年後發生大量右側肋膜積液。積液檢查顯示甲狀腺球蛋白（Thyroglobulin）升高，且碘-131全身掃描亦顯示肋膜有攝取。吾人懷疑此為甲狀腺癌併肋膜轉移，後經胸腔鏡切片檢查證實。雖然給予碘-131治療，病情仍無改善。病患於八個月後死亡。

關鍵字

乳凸狀甲狀腺細胞癌 ； 肋膜轉移 ； 甲狀腺球蛋白

並列摘要

Papillary carcinoma of the thyroid generally follows an indolent course, with slow growth and a low metastatic rate. The most common sites of metastases are the cervical lymph nodes, the lungs’ and bone. Pleural metastasis is a rare condition, but a poor prognostic sign when it appears. We present a female who had a history of papillary thyroid carcinoma, and who developed massive right side pleural effusion one year after total thyroidectomy. Papillary thyroid carcinoma with pleural metastasis was considered due to elevated thyroglobulin (Tgb) in the pleural metastasis had presented.

並列關鍵字

Papillary thyroid carcinoma ； pleural metastasis ； thyroglobulin