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유찬희 ( Chan Hee Yoo ),김예나 ( Ye Na Kim ),손창배 ( Chang Bae Shon ),박은호 ( Eun Ho Park ),최영식 ( Young Sik Choi ),박요한 ( Yo Han Park ),김정훈 ( Jung Hun Kim ) 대한내과학회 2008 대한내과학회지 Vol.75 No.2
저자들은 갑상선중독증 환자에서 세침흡인세포검사를 통해 급성 화농성 갑상선염을 진단하고, 균 배양검사에서 burkholderia gladioli에 의한 감염을 확인하였으며, 항생제투여로 임상증상 및 갑상선기능이 호전된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acute suppurative thryroiditis is a rare disease because the thyroid gland is resistant to infection. Thyroid function tests are usually normal in acute suppurative thryroiditis. We care for a patient with acute suppurative thryroiditis and associated thyrotoxicosis. A 73-year-old diabetic woman presented with pain over the thyroid gland and an elevated serum thyroid hormone level and decreased radioiodine uptake, as occurs in subacute thyroiditis. A neck computed tomography showed an abscess in the right lobe of the thyroid gland. A neutrophilic infiltration was shown in a fine needle aspiration biopsy, and Gram negative Burkholderia gladioli grew from the aspirate culture. Antibiotic treatment ameliorated the symptoms of infection, followed by normalization of thyroid function. (Korean J Med 75:242-245, 2008)
유찬희 ( Chan Hui Yoo ),박선자 ( Seun Ja Park ),박무인 ( Moo In Park ),문원 ( Won Moon ),김형훈 ( Hyung Hun Kim ),이준식 ( Jun Sik Lee ),송준영 ( Jun Young Song ),장희경 ( Hee Kyung Jang ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.2
Mucinous gastric carcinoma (MGC) is an unusual histologic subtype, and early detection of MGC is very rare. Early stage MGC appears as an elevated lesion resembling a submucosal tumor (SMT) due to abundant mucin pools in the submucosa or mucosa. We report a rare case of SMT-like early-stage MGC. Tumor type was predicted preoperatively based on characteristic endoscopic findings, in which an SMT-like mass was observed at the gastric fundus. The tumor was covered by nearly normal mucosa, but with an opening allowing for the passage of copious mucus discharge. A total gastrectomy with Roux-en Y esophagojejunostomy was subsequently performed. Histopathology of the tumor revealed early-stage (lamina propria) mucinous adenocarcinoma. (Korean J Gastroenterol 2013; 62:122-125)
장리라,최영식,박요한,문대성,김자경,김성은,최인수,유찬희,남성진 고신대학교 의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3
Metastasis to the thyroid gland is usually considered uncommon. The most frequent sites of the primary tumor include the kidney, breast and lung. Its presence often indicates poor prognosis. Metastases represent the advanced stage of the tumors and fine needle aspiration cytology is and important way of diagnosis in thyroid metastasis. we experienced a case of Metastatic Small cell Lung Carcinoma to the Thyroid Gland. A 58-year-old man with Graves' disease diagnosed pulmonary nodule in the left upper lung field on his chest X-ray film. The patient's thyroid gland was diffusely swollen, and elastic to hard. A thyroid ultrasonography showed 1cm sized hypodense nodule on the left thyroid gland. The patient underwent a ultrasonography guided fine needle aspiration cytology of the mass. Cytological diagnosis was a metastatic small cell carcinoma. Then Chemotherapy was administered to the patient. The authors report this rare case of metastatic small cell lung carcinoma to the thyroid with literature review.