Thyroid Cancer Presenting with Concomitant Metastatic Breast Cancer in the Thyroid

甲狀腺癌以同時伴隨乳癌轉移至甲狀腺的形態呈現

王鐘徵(Chung-Chen Wang) ； 沈宛霖(Wan-Lin Shen) ； 李浩銑(Hao-Hsien Lee) ； 曹朝榮(Chao-Jung Tsao) ； 黃偉修(Wei-Siou Huang) ； 黃文聰(Wen-Tsung Huang)

《台灣癌症醫學雜誌》 1卷3期 (2014/12) Pp. 248-253

https://doi.org/10.6323/JCRP.2014.1.3.09

摘要

甲狀腺是一個不尋常的癌症轉移位置。甲狀腺被癌症轉移通常發生在已有他處轉移的情況下，而且一般預後不佳。我們舉出一位49歲的女性，曾在八年前罹患第二期乳癌並接受過手術與化學治療。她後來被診斷出罹患甲狀腺癌。經過右側甲狀腺根除術與左側次全甲狀腺切除術。病理報告顯示，右側乳突性甲狀腺癌，同時伴隨乳癌轉移至右側甲狀腺。這是第一例甲狀腺癌與轉移性乳癌並存在同一側甲狀腺的病例。而且與以前的文獻相較，它表現出非常獨特的臨床病程。我們也針對甲狀腺癌和乳癌的的關係進行了討論。

關鍵字

甲狀腺轉移 ； 甲狀腺癌 ； 乳癌 ； 同側

並列摘要

The thyroid is an unusual site to find cancer metastasis. When it does occur, such cancer spread is often manifested in multiple metastases and generally suggests a poor prognosis. We presented here a 49-year-old woman recently diagnosed with thyroid cancer, who had been treated for stage IIA breast cancer 8 years ago. After radical right thyroidectomy and left subtotal thyroidectomy, her pathological report showed papillary thyroid carcinoma, right thyroid, with concomitant metastatic breast carcinoma. This is the first case of which we are aware involving coexisting thyroid cancer and metastatic breast cancer in the ipsilateral lobe. Moreover, the circumstances of this case show a very unique clinical course compared with previous studies. Given the unusual circumstances of our case, we further discuss the relationship between thyroid cancer and breast cancer.

並列關鍵字

thyroid metastasis ； thyroid cancer ； breast cancer ； ipsilateral