대한기관식도과학회지 (Korean Journal of Bronchoesophagology)
- 제18권1호
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- Pages.19-23
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- 2012
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- 1226-0916(pISSN)
갑상설관낭종에서 발생한 유두상암종 4예
Papillary Carcinoma in Thyroglossal Duct Cyst: Case Series
- 정재훈 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
- 한명월 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
- 노종렬 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
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최승호
(울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
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김상윤
(울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
- 남순열 (울산대학교 의과대학 서울아산병원 이비인후과학교실)
- Jung, Jae Hoon (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
- Han, Myung Woul (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
- Roh, Jong-Lyel (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
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Choi, Seung-Ho
(Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
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Kim, Sang Yoon
(Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
- Nam, Soon Yuhl (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine)
- 투고 : 2012.05.15
- 심사 : 2012.07.13
- 발행 : 2012.06.30
초록
Carcinoma arising in a thyroglossal duct cyst is a not common disease. It is detected in approximately 1% of thyroglossal duct cyst, therefore the clinical manifestation of the patient with carcinoma is undistinguishable from the common cystic lesion. Clinically, it may be confounded with a benign lesion and diagnosed after operation. The mainstream of treatment is the Sistrunk operation, however, there is no definite agreement regarding further treatment in addition to an excision of the cyst. The role of total thyroidectomy and the radioactive iodine therapy have been discussed for adjuvant treatment. We have experienced four cases of papillary carcinoma arising in thyroglossal duct cyst. In the three of the cases, the patients underwent Sistrunk operation, while the other one had additional total thyroidectomy and postoperative radioactive iodine therapy. There was no complication in the perioperative period and no signs of recurrence or metastasis during follow-up period.