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Case of Synchronous Central Neck Node Metastases from Both Primary Thyroid Cancer and from Endometrial Cancer to the Thyroid

갑상선암과 자궁내막암에서 동시에 전이된 경부림프절에 관한 증례

  • Park, Kyeong Seon (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Park, Hyo Jin (Department of Pathology, Seoul National University Bundang Hospital) ;
  • Hong, A Ram (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Yeong Gi (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Moon, Jae Hoon (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Park, Young Joo (Department of Internal Medicine, Seoul National University College of Medicine)
  • 박경선 (서울대학교 의과대학 내과학교실) ;
  • 박효진 (분당서울대학교병원 병리과) ;
  • 홍아람 (서울대학교 의과대학 내과학교실) ;
  • 김영기 (서울대학교 의과대학 내과학교실) ;
  • 문재훈 (분당서울대학교병원 내과) ;
  • 박영주 (서울대학교 의과대학 내과학교실)
  • Received : 2013.06.10
  • Accepted : 2013.10.02
  • Published : 2014.03.01

Abstract

A 54-year-old woman presenting with dizziness was diagnosed with a metastatic brain tumor. Imaging studies to identify the primary cancer revealed endometrial thickening with a left adnexal mass, enlarged bilateral external iliac lymph nodes, and multiple attenuated nodules in both lobes of the thyroid gland with enlarged central neck nodes. After curettage of the uterine endometrium and ultrasonography-guided gun biopsy of the thyroid gland to confirm uterine and thyroid cancers, respectively, total abdominal hysterectomy with bilateral salpingo-oophorectomy and total thyroidectomy with bilateral central neck dissection were performed. Histopathologic examination of the removed tissues demonstrated both endometrial carcinoma metastasis to the thyroid gland and primary thyroid cancer with synchronous central neck node metastasis originating in the endometrium and thyroid. Three of the four right central lymph nodes were positive for metastatic papillary carcinoma; on the other hand, the remaining right central lymph node and one of the two left central lymph nodes were confirmed to be positive for metastatic endometrial carcinoma.

Keywords

References

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