• 제목/요약/키워드: Metastatic papillary thyroid carcinoma

검색결과 46건 처리시간 0.021초

전이성 흉수로 발현된 잠재성 유두상 갑상선암 (Occult Papillary Thyroid Carcinoma Presenting as a Metastatic Pleural Effusion)

  • 이계영;명나혜;김건열
    • Tuberculosis and Respiratory Diseases
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    • 제42권4호
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    • pp.594-599
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    • 1995
  • 저자들은 젊은 남자에서 잠재성 유두상 갑상선암이 흉막전이되어 호흡곤란을 유발할 정도의 대량 흉수로 발현된 증례에서 전갑상선절제술로 원발 종양을 병리학적으로 확인하고 악성흉수에 대한 흉막유착술과 전이성 유두양 갑상선암에 대한 방사선 옥소치료를 시행한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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유두상 갑상선암의 피부전이 1예 (A Case of Skin Metastasis from Papillary Thyroid Carcinoma)

  • 임치영;이잔디;남기현;권지은;장항석;정웅윤;박정수
    • 대한두경부종양학회지
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    • 제21권2호
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    • pp.174-177
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    • 2005
  • Skin metastasis from papillary thyroid carcinoma is extremely rare. Due to similar histopathologic features, it is difficult to differentiate skin metastatic papillary thyroid carcinoma and some primary skin neoplasms without a clinical history. However, most of metastatic skin lesions showed a strong reactivity to the antithyroglobulin antibodies unlike primary skin neoplasms. Metastatic skin lesions must be completely removed and radiotherapy can be added. Investigators reported that prognosis of skin metastases from thyroid carcinoma is dismal and the average survival after it's diagnosis was only 19 months because distant metastases were often discovered at diagnosis of skin metastasis or during follow-up period. We report a case of skin metastasis from tall cell variant of papillary thyroid carcinoma. In our case, the anti thyroglobulin antibodies measured from cystic fluid from a skin lesion was more than 2000 IU/ml. Skin metastasis was diagnosed at 20 months after primary surgery for thyroid cancer and brain metastasis at 12 months after diagnosis of skin metastasis. Although skin metastasis is an ominous prognostic indicator in patients with thyroid carcinoma, a radical treatment for skin lesions and early diagnosis of distant metastasis could provide a chance to the patients to improve their survival.

종격동 종괴로 발현된 잠재성 갑상선암 (Thyroid Carcinoma Presenting as an Anterior Mediastinal Mass)

  • 형우진;정웅윤;박정수
    • 대한두경부종양학회지
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    • 제13권1호
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    • pp.69-73
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    • 1997
  • We have experienced a case of occult papillary thyroid carcinoma presenting as an anterior mediastinal mass in a 40-year-old man. The CT scan revealed a huge mass behind the manubrium of the sternum but the ultrasound examination failed to detect any lesion and developmental defect in the thyroid. Excision of the mediastinal mass and total thyroidectomy were carried out. Histologically, the mediastinal mass turned out to be papillary carcinoma without any portion of the normal thyroid tissue or normal lymph node tissue and the thyroid gland showed a tiny papillary carcinoma with the diameter of 0.3cm. Although a mediastinal mass as the sole presentation of the thyroid carcinoma is very rare, we suggest that a mediastinal mass should be added to the list of possible metastatic thyroid carcinoma.

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제2형 새열 낭종으로 오인된 전이성 갑상선 유두상 암종 1예 (Metastatic Papillary Thyroid Carcinoma Masquerading as Type II Branchial Cleft Cyst : A Case Report)

  • 김승우;김정민;김춘동
    • 대한두경부종양학회지
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    • 제28권1호
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    • pp.34-36
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    • 2012
  • In case of lateral cervical cystic lesions, the differential diagnoses include branchial cleft cyst(BCC), teratoma, dermoid, hemangioma and lymphangioma etc. But sometimes metastatic cystic lymph nodes may exist in lateral neck. In such circumstance, the primary lesions are known to stem from oropharynx, nasopharynx, salivary and thyroid gland etc. A-66-year-old-male came to our clinic, due to the lateral cervical mass for 5 years. We performed the neck CT, sonography and sono-guided FNAC. He was initially diagnosed with the benign cyst such as BCC. We performed the excisional biopsy on left level II, but the pathologic report was revealed as metastatic papillary thyroid carcinoma(PTC). And then he received the total thyroidectomy with neck dissection. The final diagnosis was cystic metastasis from PTC. We learn a valuable lesson form this case in the following. Even if the simple cervical cyst is presumed with radiology and clinical pattern, more careful considerations on the basis of history and radiologic findings are mandatory.

외측경부낭종을 동반한 갑상선유두상암종 1례 (A CASE OF CYSTIC PAPILLARY CARCINOMA OF THYROID GLAND ASSOCIATED WITH LATERAL NECK CYST)

  • 임상철;박호영;최정섭
    • 대한기관식도과학회지
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    • 제2권2호
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    • pp.268-273
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    • 1996
  • Cystic lesions of the neck are frequently encountered on clinical basis. The usual differential diagnosis includes branchial cleft, cystic hygroma, dermoid cyst, tuberculous lymphadenitis, benign detached goiterous thyroid cyst, and Cavitation epidermoid carcinoma. Most of cysts are benign and malignant cysts are rare. The most common form of cystic malignancy in the lateral neck is cystic degeneration of epidermoid carcinoma metastatic to cervical lymph nodes. Cystic neoplasia may result from malingnant changes occurring within the wall of a previously benign cyst Complete head and neck examination on the primary focus is important Especially, when palpation of thyroid is negative, thyroid carcinoma is easily overlooked. Recently, we experienced papillary carcinoma of the thyroid seen as lateral neck cyst. So we report this case with review of literatures.

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갑상샘 유두암을 닮은 전이성 흑색종의 세침 흡인 세포 소견 -1예 보고- (Metastatic Melanoma Mimicking a Papillary Carcinoma of the Thyroid in Fine Needle Aspiration Cytology -A Case Report-)

  • 홍영옥;서재희;차희정;최혜정;김영민
    • 대한세포병리학회지
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    • 제18권2호
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    • pp.161-164
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    • 2007
  • Metastasis to the thyroid gland is very rare in clinical practice. We recently encountered a 65-year-old woman who presented with a large thyroid nodule that mimicked the cytologic features of a papillary thyroid carcinoma on fine needle aspiration biopsy (FNAB). Although initially diagnosed as a papillary thyroid carcinoma, a thorough clinical work-up revealed multiple lesions in the bones, liver, and nasal cavity, which were confirmed as metastases of a malignant melanoma. Despite a thorough physical examination, however, the primary skin lesion could not be identified. Although FNAB shows a high degree of accuracy in diagnosing primary thyroid tumors, it is less accurate in diagnosing metastases to the thyroid gland. A thorough clinical history with appropriate immunohistochemical staining assays is necessary for the accurate diagnosis of metastatic malignant melanoma.

뇌 전이를 보인 갑상선 유두암 1예 (A Case of Thyroid Papillary Carcinoma Metastasizing to the Brain)

  • 윤정한;제갈영종;김재휴;김세종
    • 대한두경부종양학회지
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    • 제12권2호
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    • pp.235-240
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    • 1996
  • 갑상선 유두암에 의한 뇌전이는 극히 드물게 발견되어며 그 진단 및 치료방법의 설정이 아직 확립되어 있지 못한 상태이다. 저자들은 갑상선 유두암으로 5년전 갑상선 전절제술을 시술받고 갑상선 호르몬 복용을 하고 있던 24세의 남자에서 간헐적인 발작을 일으킨 전두골내 병소가 갑상선 유두암의 전이에 의한 것임을 조직학적으로 확인할 수 있었다. 이 병소는 전신 요오드 주사상에서는 나타나지 않았지만 Brain CT 및 MRI 소견으로만 병변의 진단이 가능하였으며 stereotactic cranitomy에 의한 종양제거로 비교적 만족스러운 결과를 얻어 현재 밀착추적중에 있다.

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갑상선암 환자에서 전종격동의 전이성 암처럼 보이는 흉선의 방사성옥소 섭취 (Thymic Radioiodine Uptake Mimicking Metastatic Papillary Carcinoma in the Anterior Mediastinum)

  • 박찬희;이명훈
    • 대한핵의학회지
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    • 제36권1호
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    • pp.87-89
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    • 2002
  • A 30 year-old female patient with papillary thyroid carcinoma received her fifth radioiodine ablation therapy after the subtotal thyroidectomy. The scan, which was peformed one week after the last therapy, revealed residual uptake in the thyroid bed and uptake in the anterior mediastinum suggesting metastasis. However, further evaluation of the thorax with chest CT and camera-based FDG PET confirmed normal thymus without metastatic focus. Occasionally thymus remains intact in adult and has avidity for I-131 and FDG. Therefore, normal thymus (instead of metastasis) should be considered in patients with well differentiated thyroid carcinoma and anterior mediastinal radioiodine uptake.

방사성옥소 섭취를 보이지 않은 갑상선 유두암에서 Retinoic acid 치료 (Retinoic Acid Redifferentiation Therapy for Papillary Carcinoma of Thyroid with Negative Radioiodine Uptake)

  • 배상균;염하용
    • 대한핵의학회지
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    • 제35권6호
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    • pp.393-397
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    • 2001
  • Surgery, radioiodine therapy, and thyroxine treatment represent established therapeutic measures of proven efficacy for the treatment of well-differentiated thyroid cancer. However, in some cases, dedifferentiation is noted and it makes tumors refractory to conventional treatment. Recently, retinoic acid redifferentiation therapy was evaluated in several in vitro and in vivo studios. We report a patient with papillary carcinoma in whom metastatic lesions became radioiodine negative on high-dose therapy. Redifferentiation therapy with retinoic acid induced radioiodine uptake in some of metastatic tissues. Side effects such as xerostomia and cheilosis were mild. We recommend retinoic acid redifferentiation therapy as an option for the treatment of thyroid cancer with negative radioiodine uptake after high-dose radioiodine therapy.

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하악골과두부에 전이된 유두상 갑상선암의 치험례 (A CASE REPORT OF PAPILLARY THYROID CARCINOMA METASTASIZED TO MANDIBULAR CONDYLE)

  • 김진권;이병인;김형준;서창호;차인호;이의웅
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제17권4호
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    • pp.442-446
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    • 1995
  • Thyroid carcinomas are usually classified as papillary thyroid carcinoma, follicular thyroid carcinoma, medullary thyroid carcinoma and anaplastic thyroid carcinoma. Among the thyroid carcinomas, the incidence of medullary and anaplastic thyroid carcinoma is low, but the rate of lymph node & distant metastasis from them are more common compared to other types. Follicular thyroid carcinoma has a low rate of lymph node metastasis as 10% and has a high occurrence of hematogenous metastasis to lung, bone, brain and liver. Papillary thyroid carcinoma accounts for $60{\sim}70%$ of whole thyroid carcinomas and the cervical lymph node metastasis is $21{\sim}81%$ including micrometastasis, but the distant metastasis is rare. In the case of bone metastasis, follicular type reveals most frequent, and the rate is about 5%, and more likely to be found on vertebra, pelvis, ribs, femur, and skull. The clinical symptoms of bone metastasis are pain, swelling, pathological fracture and radiologically osteolytic lesions can be observed. But distant metastasis of papillary thyroid carcinoma is very rare and especially, bone metastasis has hardly been reported. The treatment modalities of metastatic thyroid carcinoma to mandible are known as follows : thyroidectomy to treat primary site, resection of the affected site of mandible, external beam radiotherapy and radioiodine therapy etc.

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