갑상선의 유리질화 섬유주 선종
Hyalinizing Trabecular Adenoma of Thyroid
박경식, 김석원, 민혜숙, 한원식, 노동영, 박성호, 윤여규, 오승근, 최국진,
소속 상세정보
박경식 ( Park Kyoung-Sik )
서울대학교 의과대학 외과학교실
김석원 ( Kim Seok-Won )
서울대학교 의과대학 외과학교실
민혜숙 ( Min Hye-Sook )
서울대학교 의과대학 병리학교실
한원식 ( Han Won-Shik )
서울대학교 의과대학 외과학교실
노동영 ( Roh Dong-Young )
서울대학교 의과대학 외과학교실
박성호 ( Park Seong-Hoe )
서울대학교 의과대학 병리학교실
윤여규 ( Youn Yeo-Kyu )
서울대학교 의과대학 외과학교실
오승근 ( Oh Seung-Keun )
서울대학교 의과대학 외과학교실
최국진 ( Choi Kook-Jin )
서울대학교 의과대학 외과학교실
KMID : 0371320030650060572
Abstract
The Hyalinizing trabecular adenoma oi the thyroid is a uncommon benign neoplasm which is characterized by trabecular growth pattern with hyaline stroma of the basal membrane type. It is often misdiagnosed as papillary carcinoma due to its peculiar cytologic and histologic features such as, nuclear grooving and papillary structures, or as medullary carcinoma due to the hyalinized stroma resembling amyroid. Special stains and immunohistochemical studies are required to make a definite diagnosis. A 34-year old woman was admitted suffering from a left neck mass. Computed tomography showed a 2 cm-sized mass in the left thyroid. Fine needle aspiration cytology suggested papillary carcinoma. Intraoperative frozen section suggested medullary carcinoma and H&E staining suggested medullary carcinoma. However according to immunohistochemistry which revealed calc tonin negative, the tumor was reviewed and finally diagnosed as hyaline trabecular adenoma. The hyalinizing trabecular adenoma, although uncommon, is certainly worth consideration in order to avoid being misinterpreted as carcinoma on the basis of individual cytologic and histologic features.
키워드
유리질화 섬유주 선종;갑상선 수질암;갑상선;Hyalinizing trabecular adenoma;Medullary thyroid carcinoma;Thyroid
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