临床外科杂志 ›› 2025, Vol. 33 ›› Issue (12): 1343-1344.doi: 10.3969/j.issn.1005-6483.20250350

• 临床病例报道 • 上一篇    

小肠间质瘤甲状腺转移一例

余明 陈济卫   

  1. 514000 广东梅州,梅州市人民医院甲状腺外科
  • 出版日期:2025-12-20 发布日期:2025-12-20
  • 基金资助:
    梅州市科技计划项目(2023C0301178)

Thyroid metastasis from small intestinal gastrointestinal stromal tumor:a case report

YU Ming,CHEN Jiwei   

  1. Department of Thyroid Surgery,Meizhou People’s Hospital,Meizhou 514000,China
  • Online:2026-01-22 Published:2025-12-20

摘要: 病人,女性,52岁。因左颈部肿物进行性增大就诊。既往有小肠恶性间质瘤靶向治疗史8年。影像学检查提示甲状腺左叶结节,考虑恶性可能。行甲状腺左叶及峡部切除加中央区淋巴结清扫,术后病理检查结合免疫组化确诊为小肠间质瘤甲状腺转移。本例提示,对于有恶性肿瘤病史的甲状腺结节病人,应鉴别原发与转移性肿瘤,谨慎选择治疗决策。

关键词: 小肠间质瘤; 甲状腺; 转移

Abstract: This article reports a case of a 52-year-old female who presented with a progressively enlarging left neck mass and had an 8-year history of targeted therapy for malignant small intestinal gastrointestinal stromal tumor (GIST).Imaging studies revealed a left thyroid lobe nodule suspicious for malignancy.The patient underwent left thyroid lobectomy with isthmusectomy and central lymph node dissection.Postoperative pathology,confirmed by immunohistochemical analysis,established the diagnosis of metastatic GIST to the thyroid.This case highlights the importance of comprehensive differential diagnosis between primary and metastatic thyroid tumors in patients with a history of malignancy,underscoring the need for careful therapeutic decision-making.

Key words: small intestinal gastrointestinal stromal tumor; thyroid gland; metastasis

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