갑상선 여포암의 경추 전이 1예

• 영문명: Metastatic Follicular Thyroid Carcinoma in Cervical Spine: A Case Report
• 발행기관: 대한내분비외과학회
• 저자명: 이동근 조규상 홍종철 박헌수 Dong Kun Lee Kyu Sang Cho Jong Chul Hong Heon Soo Park
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』13권4호, 262~266쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2013.12.30

영문 초록

Differentiated thyroid cancers are rarely associated with distant metastases and have 10-year survival rates higher than 80%; however, the prognosis deteriorates significantly if metastasis occurs. Bone is the second most common site of metastasis after the lungs in cases of thyroid cancer. Here we describe a case in which a 57-year-old female patient had extremely severe pain on the posterior neck. After magnetic resonance imaging, 18F-FDG PET CT and ultrasonography guided biopsy, right papillary thyroid carcinoma with cervical spine metastasis was suspected; therefore, she underwent surgery for removal of thyroid carcinoma and seventh cervical spine metastasis. Pathologic diagnosis was confirmed as left thyroid follicular carcinoma with seventh cervical spine metastasis and synchronous right thyroid papillary carcinoma. The patient then underwent an additional spinal tumor removal operation, I¹³¹ treatment and external radiation therapy. Complete removal of the cervical spine tumor could not be achieved due to intra-operative bleeding and the need to prevent damage to the spinal cord. Following treatment, the patient reported great relief from severe neck pain. This is a rare presentation of follicular thyroid carcinoma with cervical spine metastasis in Korea.

키워드

갑상선 여포암, 경추, 전이,Thyroid follicular carcinoma, Cervical spine, Metastasis