直径１ｍｍの甲状腺微小癌が原発であると考えられた前頚筋群および腹直筋転移の１例

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  • A Case of Minute Carcinoma of the Thyroid Thought to be the Primary Tumor of the Metastatic Tumors to the Anterior Cervical Muscle and the Rectus Muscle.

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In this paper, we report a case of minute carcinoma of the thyroid appearing as distant metastasis to the rectus muscle. A 63-year-old man was seen at the hospital because of tumors on the anterior region of the neck and the left upper abdomen. We could palpate hard tumors, one was 3cm in diameter on the anterior region of the neck and the other was 1.2cm in diameter on the abdomen. We planned total thyroidectomy because we thought the rectus tumor to be the metastatic tumor from thyroid cancer but in the operation we found the tumor was completely isolated from the thyroid by the anterior neck muscle and no tumor was seen in the thyroid, so we preserved the thyroid. After the operation, a pathologist diagnosed the tumors as metastatic tumors from thyroid cancer. A total thyroidectomy was performed 2 weeks after the first operation. With close exploration of the resected thyroid, papillary carcinoma 1mm in diameter was detected. The patient remains healthy 20 months after the first operation and has had no evidence of recurrence, however, strict follow-up is important.

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