甲状腺滤泡癌多发胸椎转移一例
魏波
顾强荣
杜小涛
李栋
王黎明
1.210006,南京医科大学附属南京医院 南京市第一医院 骨科2.210006,南京医科大学附属南京医院 南京市第一医院 骨科3.210006,南京医科大学附属南京医院 南京市第一医院 骨科4.210006,南京医科大学附属南京医院 南京市第一医院 骨科5.210006,南京医科大学附属南京医院 南京市第一医院 骨科
摘要：Objective To diagnose and treat multiple thoracic vertebral metastases of thyroid follicular carcinoma accompanied by vertebral instability. Methods On December 9th, 2013, a patient with multiple thoracic vertebral metastases of thyroid follicular carcinoma was adopted and treated, whose clinical data were analyzed. Results The patient was diagnosed as multiple thoracic vertebral metastases of thyroid follicular carcinoma by single-Photon Emission Computed Tomography ( SPECT ) and whole-body Magnetic Resonance Imaging ( MRI ). Due to the presence of vertebral instability, the risk of vertebral collapse or spinal cord injury existed. Open reduction and internal ifxation were performed under general anesthesia. Moreover, palliative care of tumors was temporarily carried out, and thoracic vertebral metastases were further treated after the operation. The general condition of the patient was good postoperatively. Additionally, the X-ray showed good position of the pedicle screw system. Reexamination was performed at 1 month after the operation. The spinal stability recovered, and the range of motion of the lumbar was not obviously limited. No complications such as incision infections, nerve injuries or deep venous thrombosis of lower limbs were noticed. The postoperative X-ray showed good position of the pedicle screw system and no lossening, bending or breakage of the internal ifxator. Conclusions For the patients with multiple thoracic vertebral metastases of thyroid follicular carcinoma accompanied by vertebral instability, surgical operation is an optimal option. With more secure and targeted therapy, satisfactory stability of the spine will be obtained.
机标关键词：甲状腺滤泡癌胸椎癌骨转移thyroid follicular carcinomavertebral metastases甲状腺乳头癌pedicle screwMagnetic Resonance Imaging
分类号：R738.1(运动系肿瘤)
论文发表日期：2014-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 398-400 )
英文信息