临床外科杂志 ›› 2026, Vol. 34 ›› Issue (6): 686-687.doi: 10.3969/j.issn.1005-6483.20250918

• 临床病例报道 • 上一篇    下一篇

以囊性成分为主的甲状腺乳头状癌并桥本甲状腺炎一例

王乐,王学文,李晓,张禹霆,王丹萍,申志新   

  1. 山东第二医科大学临床医学院
  • 收稿日期:2025-09-16 出版日期:2026-08-18 发布日期:2026-08-18
  • 通讯作者: 申志新
  • 作者简介:王乐,王学文,李晓,张禹霆,王丹萍,申志新

A case of predominantly cystic papillary thyroid carcinoma concurrent with hashimoto’s thyroiditis

WANG Le,WANG Xuewen,LI Xiao,ZHANG Yuting,WANG Danping,SHEN Zhixin   

  1. Department of Clinical Medicine,Shandong Second Medical University
  • Received:2025-09-16 Online:2026-06-20 Published:2026-08-18

摘要: 甲状腺乳头状癌是原发性甲状腺癌中最常见的类型。本文报告1例以囊性成分为主的巨大甲状腺乳头状癌(PTC),病人同时伴有桥本甲状腺炎(HT),肿瘤的多囊腔以及大量炎症细胞提示我们,HT是否可以考虑为PTC的先兆危险因素。肿瘤体积较大且侵犯神经,姑息性术后辅以靶向治疗,临床过程复杂,治疗效果有限。

关键词: 甲状腺乳头状癌; 桥本甲状腺炎; 囊性; 治疗

Abstract: Papillary thyroid carcinoma (PTC) is the most common subtype of primary thyroid cancer.We herein present a case of predominantly cystic giant PTC coexisting with Hashimoto thyroiditis (HT).The multilocular cystic architecture and dense inflammatory infiltrate prompted us to conside r whether HT might represent a predisposing factor for PTC.The tumor was bulky and had invaded adjacent nerves;after palliative resection,the patient received adjuvant targeted therapy.The clinical course was complicated and the therapeutic benefit lim ited.

Key words: papillary thyroid carcinoma; hashimoto’ thyroiditis; cystic; treatment

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