대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제23권1호
  • /
  • Pages.41-45
  • /
  • 2007
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

갑상선 여포암의 초기 증상으로서의 단발성 두개골 전이 1예

Solitary Skull Metastasis as the Initial Sign of Follicular Thyroid Cancer - A Case Report -

  • 최수윤 (아주대학교 의과대학 외과학교실) ;
  • 차진우 (아주대학교 의과대학 외과학교실) ;
  • 송선춘 (아주대학교 의과대학 외과학교실) ;
  • 김장희 (아주대학교 의과대학 해부학교실) ;
  • 소의영 (아주대학교 의과대학 외과학교실)
  • Choi, Su-Yun (Department of Surgery, College of Medicine, Ajou University) ;
  • Cha, Jin-Woo (Department of Surgery, College of Medicine, Ajou University) ;
  • Song, Sun-Chun (Department of Surgery, College of Medicine, Ajou University) ;
  • Jang, Hea-Kim (Department of Pathology, College of Medicine, Ajou University) ;
  • Soh, Euy-Yong (Department of Surgery, College of Medicine, Ajou University)
  • 발행 : 2007.05.31
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초록

A 60 years old female patient presented with $8{\times}6\;cm$ sized painless oval mass in the left parietal region. She had left lobectomy of thyroid gland 10 years ago. Cranial CT, MRI, FGD PET-CT showed a solid mass which invaded left parietal bone. After embolization, craniectomy with tumor excision was performed. Histological examination revealed metastatic follicular cancer originated thyroid gland, with vascular and dura invasion. Postoperatively, neck CT showed right thyroid multiple nodules and right level III multiple lymph node enlargement. Thyroid function test was normal, but level of thyroglobulin was high (72ng/ml). So she had right lobectomy of thyroid gland with lymph node dissection under a diagnosis of follicular carcinoma. But histological examination revealed adenomatous hyperplasia and not lymph node metastasis. After operation, she received radioiodine therapy of 150mCi and then the level of thyroglobulin normalized (8.4ng/ml). The patient is under follow-up since she had operation 4 months ago.

키워드

참고문헌

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