A CASE OF MEDULLARY THYROID CARCINOMA IN CHILD

소아 갑상선 수질암종 1례

  • Jung, Kwang-Yoon (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Park, Chan (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Lee, Jae-Yong (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Choi, Jong-Ouck (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Yoo, Hong-Kyun (Yoo's ENT clinic)
  • 정광윤 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박찬 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이재용 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최종욱 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 유홍균 (유홍균 이비인후과)
  • Published : 1996.11.01

Abstract

Medullary thyroid carcinoma constitutes about 5-10% of all thyroid malignancies, but rare in children. It has frequent association with multiple endocrine neoplasia(MEN) and frequent familial occurrence. They are derived from parafollicular cells of thyroid glands and produce calcitonin. They are capable of local invasion, spread to regional lymph nodes, or distant metastases. Histopathologically, the lesions are characterized by sheets of non-follicular cells surrounded by deposits of hyaline amyloid. Aggressive surgical intervention is recommended due to the propensity of medullary thyroid carcinoma for local microvascular invasion, late recurrence and metastasis. A total thyroidectomy is generally recommended because of the high incidence of bilaterality. Recently, authors experienced a case of medullary carcinoma in child. We report this case with review of the literatures.

저자들은 좌측 전경부 종물을 주소로 내원한 9세 여아에서 발생한 갑상선수질암종을 갑상선 전절제술 및 술후 방사성요드로 치료한 경험을 보고하는 바이다.

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