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갑상선의 호산구증 경화 점액표피양 암종: 원격전이를 동반한 증례보고

Other Titles
 Sclerosing mucoepidermoid carcinoma with eosinophilia of the thyroid: A Case report with distant metastasis 
Authors
 김주흥  ;  김석모  ;  홍순원  ;  장항석  ;  박정수 
Citation
 Korean journal of Endocrine Surgery (대한내분비외과학회지), Vol.14(4) : 243-246, 2014 
Journal Title
 Korean journal of Endocrine Surgery (대한내분비외과학회지) 
ISSN
 1598-1703 
Issue Date
2014
Keywords
Sclerosing mucoepidermoid carcinoma with eosinophilia ; Thyroid gland ; Metastasis
Abstract
Sclerosing mucoepidermoid carcinoma with eosinophilia (SMECE) of the thyroid gland is a very rare carcinoma. We herein report on a case of SMECE with metastasis to bilateral lateral neck nodes, esophagus, and trachea. A 72-year-old woman presented with a neck mass found incidentally during a medical check-up. She had a history of cerebral stroke without sequelae 20 years ago and was taking aspirin regularly. The neck mass was confirmed as papillary thyroid carcinoma by fine needle aspiration biopsy. The patient underwent bilateral total thyroidectomy with central compartment and bilateral compartment lateral neck dissection. The right recurrent laryngeal nerve was sacrificed due to tumor invasion. The trachea wall and esophagus were also invaded by the cancer. Histologically, the tumor showed dense fibrohyaline stroma and a goblet cell, nested islands of squamoid cells, and marked stromal eosinophilia with perineural invasion and lymphovascular invasion, confirming the diagnosis of SMECE. After radiation therapy for three months, distant metastasis to the liver, lung, and bone were found on PET-CT. This case appears to be more aggressive than previously reported cases.
Files in This Item:
T201405858.pdf Download
DOI
10.16956/kaes.2014.14.4.243
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seok Mo(김석모) ORCID logo https://orcid.org/0000-0001-8070-0573
Park, Cheong Soo(박정수)
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Hong, Soon Won(홍순원) ORCID logo https://orcid.org/0000-0002-0324-2414
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138966
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