대한기관식도과학회지 (Korean Journal of Bronchoesophagology)

대한기관식도과학회 (The Korean Bronchoesophagological Society)
권호 표지

파종성 폐결핵으로 오인된 갑상선 유두상암종의 폐전이

Lung Metastasis of Thyroid Papillary Carcinoma which was Temporarily Treated for Milliary Tuberculosis

  • 나홍식 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이제혁 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 팽재필 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 정광윤 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최종욱 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Na, Hong-Shik (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Lee, Je-Hyuck (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Paeng, Jae-Pil (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Jung, Kwang-Yoon (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)
  • 발행 : 2000.06.01
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초록

The patient a 24-year-old male, was shown to have milliary shadows on chest radiographs from the age of 20. He was temporarily treated for pulmonary tuberculosis without success. He had left thyroid mass and lymph node metastases in neck CT scan which was taken after admission but fine needle aspiration result in scanty cellularity. He underwent total thyroidectomy with left modified radical neck dissection and right selective neck dissection under the impression of differentiated thyroid cancer with bilateral neck metastases. Then he underwent 131I ablation treatment and postoperative whole body 131I scintigraphy revealed diffuse intensive uptake in the bilateral lung fields, demonstrating that the pulmonary lesions were metastases of the thyroid cancer.

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