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甲状腺癌的脑转移临床上少见,尤其是隐性癌型,且诊断有一定困难,我院收治一例,病理证实,报告如下。王××,女,31岁、头痛、呕吐5月,曾昏倒2次。1982年发生过癫痫样抽搐3次。查双侧视乳头明显水肿,无神经定位症。颈部甲状腺未见异常,余均阴性。临床拟诊脑肿瘤,转移性可能。于1986年5月22日在脑外科行手术探查,术中见肿瘤位于右额叶眉弓上4厘米中线旁,约6×6×5厘米大,边界尚清楚,分离时出血不多,质较正常脑组织硬。肿瘤伴有出血、坏死、钙化及囊性变。镜检(病理号86-1761)肿瘤由明显之甲状腺滤泡及乳头状腺癌组织构成,腺腔内见红染的胶质,乳头状癌多围绕小血管排列,部分癌组织分化较差形成实性片块。癌细胞具明显异
The brain metastasis of thyroid cancer is rare in clinical practice, especially the recessive cancer type, and there are some difficulties in diagnosis. One case in our hospital was admitted and the pathology was confirmed. The report is as follows. Wang ××, female, 31 years old, had a headache and vomited in May and had collapsed twice. Epilepsy-like convulsions occurred 3 times in 1982. Check the bilateral papilla obvious edema, no neurological positioning. There was no abnormality in the neck thyroid gland, and the rest was negative. The clinical diagnosis of brain tumors is likely to be metastatic. On May 22, 1986, he underwent surgical exploration in brain surgery. During the operation, the tumor was located on the right frontal brow arch 4 cm midline, about 6×6×5 cm in size, the boundary was still clear, and there was not much bleeding during separation. Harder than normal brain tissue. The tumor was associated with hemorrhage, necrosis, calcification, and cystic degeneration. Microscopic Examination (Path No. 86-1761) The tumor consisted of obvious thyroid follicles and papillary adenocarcinoma tissues. The glandular cavities showed red-stained glial tissue. Papillary tumors were mostly arranged around small blood vessels, and some of the cancer tissues were poorly differentiated. Solid piece. Cancer cells have obvious differences