Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Simultaneous Occurrence of Medullary and Papillary Thyroid Carcinoma with Lymph Node Metastasis: A Case Report

림프절 전이를 동반한 갑상선에 동시 발생한 수질암과 유두상 암종 1례

  • Joo, Young-Hoon (Department Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Yun, Chang-Hyun (Department Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Sun, Dong-Il (Department Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim, Min-Sik (Department Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea)
  • 주영훈 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 윤창현 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 선동일 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김민식 (가톨릭대학교 의과대학 이비인후과학교실)
  • Published : 2006.12.26
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Abstract

Simultaneous occurrence of medullary and papillary thyroid carcinomas in the same gland is very rare. In fact. there are only 18 cases of simultaneous occurrence of medullary and papillary thyroid carcinomas in the literature. We report a case of simultaneous medullary and papillary carcinoma of thyroid gland. A 67-year-old woman was diagnosed with medullary carcinoma of right lobe of thyroid gland and papillary carcinoma of left lobe of thyroid gland by fine needle aspiration cytology. Total thyroidectomy, anterior neck dissection, bilateral modified radical neck dissection and tracheotomy was undertaken. The tumor metastasized to regional lymph node and extrathyroidal muscle invasion of left papillary carcinoma was also revealed by pathological report. This report describes a case of thyroid carcinoma that demonstrated both medullary carcinoma and papillary components in the thyroid with lymph node metastasis.

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