재발 유두 갑상선암의 부신전이 1예

• 영문명: A Case of Recurrent Papillary Thyroid Carcinoma with Adrenal Metastasis
• 발행기관: 대한두경부종양학회
• 저자명: 김창우(Chang-Woo Kim) 윤지섭(Ji-Sup Yun) 이용상(Yong Sang Lee) 남기현(Kee-Hyun Nam) 정웅윤(Woong Youn Chung) 홍순원(Soon Won Hong) 박정수(Cheong Soo Park)
• 간행물 정보: 『대한두경부종양학회지』제23권 제1호, 50~53쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2007.05.30

영문 초록

Adrenal metastasis from papillary thyroid carcinoma is extremely rare. We present herein a patient with adrenal metastases from recurrent papillary carcinoma of the thyroid. A 54 year-old woman had received a total thyroidectomy and postoperative radioactive iodine therapy for locally advanced papillary thyroid car-cinoma. One year after initial surgery, distant metastases to multiple organs including right cervical lymph nodes, left upper lung, left 2nd and 3rd ribs, 2nd thoracic vertebra and left adrenal gland were found by 18-FDG-PET-CT whole body scan. She underwent right modified neck dissection, partial resection of left 2nd and 3rd ribs, posterior arch of 2nd thoracic vertebra, left upper lobectomy of lung, and left adrenalectomy. On histologic examination, metastases to the left adrenal gland and cervical lymph nodes were papillary thyroid carcinomas, while other metastatic sites turned out to be anaplastic thyroid carcinomas. Despite aggressive surgery and posto-perative adjuvant therapy, her general clinical conditions were getting worse day by day due to regrowing of the anaplastic thyroid carcinomas. To our knowledge, this is the first case reported in Korea.

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키워드

Papillary thyroid carcinoma Adrenal metastasis Distant metastasis 유두 갑상선암 부신전이 원격전이.