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Journal of Medical Ultrasonics

にて英文誌のFull textを閲覧することができます.


1997 - Vol.24

Vol.24 No.12

Case Report(症例報告)

(1841 - 1844)


Diffuse Color Doppler Signals in a Case of Gastric Cancer That Metastasized to the Thyroid Gland

森 貴信1, 北村 宏1, 荒井 正幸1, 沼田 稔1, 春日 好雄2

Takanobu MORI1, Hiroshi KITAMURA1, Masayuki ARAI1, Minoru NUMATA1, Yoshio KASUGA2

1NTT長野病院外科, 2長野松代総合病院外科

1Department of Surgery, NTT Nagano Hospital, 2Department of Surgery, Nagano Matsushiro General Hospital

キーワード : Color Doppler, Gastric cancer, Secondary thyroid neoplasms

Color Doppler findings from metastatic thyroid cancer of gastric origin have rarely been described. A 68-year-old woman who had a gastrectomy for treatment of gastric cancer 3 years earlier presented a skin rash at the anterior region of the neck. The thyroid gland was slightly enlarged, but no localized lesion was detected by palpation. Hormonal studies confirmed euthyroid function. B-mode ultrasonography failed to show pathological findings other than a diffuse swelling of the gland, while color Doppler studies showed sighifcant increase in blood flow in the entire thyroid gland. A defnitive diagnosis was made by fine needle aspiration biopsy. Our findings warrant attehtion when evaluating the gehehally similar color Doppler images from such functional thyroid diseases as the Basedow's disease or chronic thyroiditis.