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甲状腺癌引起甲亢甚为少见,至1978年英文文献中仅报告过25例,曾报道过1例分泌大量 T_3的转移性甲状腺癌病例。本文报道1例独特的甲状腺滤泡癌,由原发癌和骨转移引起 T_3甲亢。患者女性,50岁,来自地方性甲状腺肿地区。因心房纤颤入院。患者甲状腺肿大已20多年,渐进性头部肿物2年,伴消瘦、怕热、多汗、手震和腹泻。检查可见一巨大的多结节甲状腺肿,中央有13×11cm 的大结节,无震颤及杂音;右侧顶枕部有一个15×14cm的质软肿物。头颅 X 线照片显示几个小的溶骨性病灶,
Thyroid cancer caused by hyperthyroidism is very rare, to the English literature in 1978, only 25 cases were reported, had reported a case of large secretion of T_3 cases of metastatic thyroid cancer. This article reports a case of unique thyroid follicular carcinoma, caused by primary cancer and bone metastasis T_3 hyperthyroidism. Female patient, 50 years old, from endemic goiter region. Due to atrial fibrillation admission. Patients with goiter has been more than 20 years, progressive head mass 2 years, with weight loss, fears, hyperhidrosis, tremors and diarrhea. Check shows a huge multi-nodular goiter, the central 13 × 11cm large nodules, no tremor and noise; the right occiput has a 15 × 14cm soft mass. Head X-ray shows several small osteolytic lesions,