Subacute Bulbar Palsy as the Initial Sign of Follicular Thyroid Cancer
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概要
- 論文の詳細を見る
We report a 64-year-old woman with follicular thyroid cancer found by subacute bulbar palsy. Progressive bulbar palsy (PBP) was considered the most likely diagnosis, because no abnormal finding was detected on brain CT and blood test except for the decrease of free T4. An echogram of the thyroid revealed a small nodule which was shown to be class IIb by fine needle biopsy. However, 201Tl scintillation examination showed skull base metastasis. Follicular thyroid cancer sometimes seems to manifest as a distant metastasis with no clinically evident thyroid lesion. This case suggested the importance of a detailed survey for malignancy, when subacute bulbar palsy is seen.
- 社団法人 日本内科学会の論文
- 2004-10-01
著者
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Chihara Kazuo
Division Of Diabetes Metabolism And Endocrinology Department Of Internal Medicine Kobe University Gr
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Okuda Shiho
Kobe University Graduate Schoolof Medicine
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Kanda F
Kobe University Graduate Schoolof Medicine
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Kanda Fumio
Division Of Diabetes Metabolism And Endocrinology Department Of Internal Medicine Kobe University Gr
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OKUDA Shiho
Division of Endocrinology/Metabolism, Neurology, and Hematology/Oncology, Department of Clinical Mol
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KAWAMOTO Kunihiko
Department of Neurology, National Sanatorium Hyogo-Chuo Hospital
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Kawanami Chiharu
The Division Of Gerontology Department Of Medicine Kobe University School Of Medicine The Department
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Kawamoto Kunihiko
Department Of Neurology National Sanatorium Hyogo-chuo Hospital
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Chihara Kazuo
Division Of Diabetes And Endocrinology Hyogo Prefectural Kakogawa Medical Center
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