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目的探讨甲状腺转移癌的误诊因素。方法回顾性分析作者所收治的13例甲状腺转移癌患者,分析其临床表现及检查结果。结果13例患者均因声音嘶哑伴颈前无痛性肿物,未完善检查,误诊为甲状腺恶性肿瘤,而行单侧甲状腺叶切除术。术后行食管吞钡、食管镜检查确诊为食管鳞癌转移到甲状腺。结论食管鳞癌可血行转移到甲状腺,详尽的病史采集及术前检查可避免误诊。
Objective To investigate the misdiagnosis factors of thyroid metastases. Methods A retrospective analysis of 13 cases of thyroid cancer patients admitted to the author, analysis of clinical manifestations and test results. Results Thirteen patients had hoarseness with painless neck and incomplete examination. Misdiagnosed as thyroid malignant tumor, unilateral thyroidectomy was performed. Postoperative esophageal barium swallow, esophagoscopy confirmed esophageal squamous cell carcinoma metastasis to the thyroid. Conclusion Esophageal squamous cell carcinoma can hematogenous metastasis to the thyroid gland, detailed history collection and preoperative examination to avoid misdiagnosis.