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Rehabilitation Practice and Science

Translated Title

甲狀腺乳突癌引起頸部疼痛：病例報告

Abstract

Papillary thyroid carcinoma is a type of well-differentiated thyroid cancer. This type of cancer is often diagnosed in patients found with palpable neck mass or lymph node enlargement. The clinical characteristics of papillary thyroid carcinoma are slow disease progression, less tendency for distant metastasis, and better prognosis than other types of thyroid cancer. The diagnosis of thyroid cancer is primarily based on the identification of pathological tissue obtained through echo-guide fine needle aspiration biopsy. In laboratory examinations, these patients may or may not be present with hypothyroidism.The subject in our case study is a 82-year-old male patient. He complains of radiating pain from neck to left shoulder and visits our outpatient department for treatment. Cervical spine X-ray only revealed spondylosis without bone lesion. Rehabilitation program was arranged for 4 months. However, neck pain was not improved after treatment. Tumor metastasis with nerve compression and vertebral body invasion were found by C-spine MRI. After radiotherapy and medication, patient's neck pain symptoms were greatly improved. This case study reminds us that even a common symptom may be a clue of a more malignant disease.

Language

Traditional Chinese

First Page

201

Last Page

208

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