Long-Term Survival of a Patient with Pulmonary Artery Intimal Sarcoma after Sequential Metastasectomies of the Thyroid and Adrenal Glands
최윤미, 장은경, 안성희, 전민지, 한지민, 김태영, 송영기, 김원배, 김성철, 한덕종, 공경엽,
소속 상세정보
최윤미 ( Choi Yun-Mi )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
장은경 ( Jang Eun-Kyung )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
안성희 ( Ahn Seong-Hee )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
전민지 ( Jeon Min-Ji )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
한지민 ( Han Ji-Min )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
김태영 ( Kim Tae-Yong )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
송영기 ( Shong Young-Kee )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
김원배 ( Kim Won-Bae )
University of Ulsan College of Medicine Asan Medical Center Department of Medicine
김성철 ( Kim Seong-Chul )
University of Ulsan College of Medicine Asan Medical Center Department of Surgery
한덕종 ( Han Duck-Jong )
University of Ulsan College of Medicine Asan Medical Center Department of Surgery
공경엽 ( Gong Gyung-Yup )
University of Ulsan College of Medicine Asan Medical Center Department of Pathology
KMID : 0356620130280010046
Abstract
Cancer metastases to the thyroid or adrenal gland are uncommon. Furthermore, cases showing long-term survival after surgical resection of those metastatic tumors are rare. We report a case of pulmonary artery intimal sarcoma with metastases to the thyroid and adrenal glands sequentially that was successfully treated with sequential metastasectomies. A 62-year-old woman presented with a 4-week history of dyspnea on exertion and facial edema in November 1999. Echocardiography and chest computed tomography (CT) revealed an embolism-like mass in the pulmonary trunk. Pulmonary artery endarterectomy with pulmonary valve replacement was performed, and histopathology revealed pulmonary artery intimal sarcoma. A thyroid nodule was found by chest CT in November 2001 (2 years after initial surgery). During follow-up, this lesion showed no change, but we decided to obtain fine needle aspiration cytology (FNAC) in August 2004 (4.7 years after initial surgery). FNAC revealed atypical spindle cells suggestive of metastatic intimal sarcoma. She underwent total thyroidectomy. During follow-up, a right adrenal gland mass was detected by chest CT in March 2006 (6.3 years after initial surgery), and adrenalectomy was done, which also revealed metastatic sarcoma. She has been followed up without any evidence of recurrent disease until May 2012 (12.5 years after initial surgery).
키워드
Endocrine organ;Metastasectomy;Pulmonary artery intimal sarcoma
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