갑상선의 호산구증 경화 점액표피양 암종: 원격전이를 동반한 증례보고

김주흥; 김석모; 홍순원; 장항석; 박정수

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자료유형: 학술저널

저자정보: 김주흥 김석모 홍순원 장항석 박정수

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제14권 제4호

발행연도: 2014.1

수록면: 243 - 246 (4page)

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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.

#호산구증 경화 점액표피양 암종 #갑상선 #전이 #Sclerosing mucoepidermoid carcinoma with eosinophilia #Thyroid gland #Metastasis

참고문헌 (14)

참고문헌 신청

Baloch ZW / 2000 / Primary mucoepidermoid carcinoma and sclerosing mucoepidermoid carcinoma with eosinophilia of the thyroid gland: a report of nine cases / Mod Pathol 13 :

Bondeson L / 1991 / Papillary carcinoma of the thyroid with mucoepidermoid features / Am J Clin Pathol 95 : 175 ~ 179

Chan JK / 1991 / Sclerosing mucoepidermoid thyroid carcinoma with eosinophilia. A distinctive low-grade malignancy arising from the metaplastic follicles of Hashimoto's thyro

Chung J / 1999 / Sclerosing Mucoepidermoid carcinoma with eosinophilia of the thyroid glands: a case report with clinical manifestation of recurrent neck mass / J Korean Med

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