갑상선 여포암의 초기 증상으로서의 단발성 두개골 전이 1예

• 영문명: Solitary Skull Metastasis as the Initial Sign of Follicular Thyroid Cancer - A Case Report -
• 발행기관: 대한두경부종양학회
• 저자명: 최수윤(Su-Yun Choi) 차진우(jin Woo Cha) 송선춘(Sun Chun Song) 소의영(Euy Yong Soh) 김장희(Hea Kim Jang)
• 간행물 정보: 『대한두경부종양학회지』제23권 제1호, 41~45쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2007.05.30

영문 초록

A 60 years old female patient presented with 8x6 cm sized painless oval mass in the left parietal region. She had left lobectomy of thyroid gland 10 years ago. Cranial CT, MRI, FGD PET-CT showed a solid mass which invaded left parietal bone. After embolization, craniectomy with tumor excision was performed. Histological examination revealed metastatic follicular cancer originated thyroid gland, with vascular and dura invasion. Postoperatively, neck CT showed right thyroid multiple nodules and right level III multiple lymph node enlargement. Thyroid function test was normal, but level of thyroglobulin was high (72ng/ml). So she had right lobectomy of thyroid gland with lymph node dissection under a diagnosis of follicular carcinoma. But histological examination revealed adenomatous hyperplasia and not lymph node metastasis. After operation, she received radioiodine therapy of 150mCi and then the level of thyroglobulin normalized (8.4ng/ml). The patient is under follow-up since she had operation 4 months ago.

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키워드

Thyroid follicular carcinoma Parietal bone metastasis 갑상선 여포암 두정골 전이.