갑상선에서 독립적으로 발생한 유두암종 및 수질암종- 3예 보고 -
Concurrence of Spatially Separated Medullary Carcinoma and Papillary Carcinoma of the Thyroid Gland - A Report of Three Cases -
유창영, 정찬권, 권혁상, 김성헌, 김민식, 김승남, 이교영,
소속 상세정보
유창영 ( Yoo Chang-Young )
가톨릭대학교 의과대학 임상병리학교실
정찬권 ( Jung Chan-Kwon )
가톨릭대학교 의과대학 임상병리학교실
권혁상 ( Kwon Hyeok-Sang )
가톨릭대학교 의과대학 내과학교실
김성헌 ( Kim Sung-Hun )
가톨릭대학교 의과대학 진단방사선과학교실
김민식 ( Kim Min-Sik )
가톨릭대학교 의과대학 이비인후과학교실
김승남 ( Kim Seung-Nam )
가톨릭대학교 의과대학 외과학교실
이교영 ( Lee Kyo-Young )
가톨릭대학교 의과대학 임상병리학교실
KMID : 0357920070410030207
Abstract
Although medullary thyroid carcinoma (MTC) may coexist with papillary thyroid carcinoma (PTC) as a collision tumor within the same nodule or as two or more spatially separated tumors, these two carcinomas rarely coexist. We encountered three cases of sporadic MTCs spatially separated from PTCs, which occurred concurrently, either within the same thyroid lobe or in different thyroid lobes. In each of the cases the patients underwent total thyroidectomy and neck dissection. PTC metastases of the lymph node were observed in two of the cases and MTC metastasis of the lymph node was observed in one case. Among the multiple thyroid nodules affected by both MTCs and PTCs, only the dominant nodules had spread to the lymph nodes. Because MTC has a different clinical significance from PTC, in patients with multiple thyroid nodules, appropriate diagnostic approaches, such as fine needle aspiration of all possible nodules and measurement of serum calcitonin level, should be performed.
키워드
Papillary carcinoma;Medullary carcinoma;Thyroid gland;Mixed tumor
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