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급성 상기도 폐색을 동반한 이소성 갑상선 기원의 낭종 1예
강대운,이윤세,임윤성,이진춘,Kang, Dae-Woon,Lee, Yoon Se,Lim, Yune Sung,Lee, Jin-Choon 대한기관식도과학회 2011 大韓氣管食道科學會誌 Vol.17 No.1
Ectopic thyroid gland is a defined as thyroid tissue located in a site other than its usual pre-tracheal location. Ultrasound examination, CT scan, thyroid scan, and thyroid iodine uptake test are all valuable modalities for a differential diagnosis. Although most of cases are asymptomatic, treatment is indicated when there are symptoms related to progressive growth of mass. This article reports a ectopic thyroid cyst in the anterior neck that was similar to deep neck infection accompanied by acute airway obstruction.
우측 반회후두신경을 침범한 갑상선 유두상암 환자의 수술 후 발생한 양측 성대 마비의 회복 1예
문미진,왕수건,이윤세,임윤성,이진춘,강양호,손석만,김인주,Mun, Mi Jin,Wang, Soo Geun,Lee, Yoon Se,Lim, Yun-Sung,Lee, Jin Chun,Kang, Yang Ho,Son, Seok Man,Kim, In Joo 대한기관식도과학회 2011 大韓氣管食道科學會誌 Vol.17 No.1
Vocal cord paralysis (VCP) is a common complication after thyroidectomy despite the continuity of the recurrent laryngeal nerve (RLN) is preserved. Much efforts have been made into preventing VCP, but few of them focuses on the treatment strategies and prognosis after VCP take place. In this case, patient visited the clinic for papillary thyroid cancer in Rt. thyroid gland without VCP. She underwent total thyroidectomy with central neck dissection. During dissection, Rt main mass was encircling Rt. RLN. To make matters worse, Lt. RLN was severed due to tight attachment with Berry's ligament. After that, intratumoural dissection of Rt. RLN and end to end anastomosis of Lt. RLN were performed with microscopy to preserve the functions of RLNs as much as possible, otherwise permanent bilateral VCPs were inevitable. We report this case, since both vocal cords recovered from VCPs with symmetric, synchronous movements at postoperative follow up.
갑상선유두상암에서 종양의 크기에 대한 수술 전 초음파검사소견과 수술 후 병리조직검사소견의 비교
이현민 ( Hyun-min Lee ),김민우 ( Min-woo Kim ),임윤성 ( Yoon-sung Lim ),이진춘 ( Jin-choon Lee ),이병주 ( Byung-joo Lee ),왕수건 ( Soo-geun Wang ),김상수 ( Sang-su Kim ),김인주 ( In-ju Kim ),김용기 ( Yong-ki Kim ) 대한갑상선학회 2009 International Journal of Thyroidology Vol.2 No.2
Background and Objectives: Size of thyroid tumor is one of important parameters in making decision for the surgical extent of thyroid resection and necessity of lymph node dissection in papillary thyroid carcinoma (PTC). Although tumor size by pathologic finding is important to evaluate the prognosis of patient with PTC, the decision of surgical extent depend on the preoperative ultrasonographic tumor size. The purpose of this study is to compare primary tumor size between preoperative ultrasonographic and pathologic results in PTC. Materials and Methods: From March 2008 to February 2009, 105 patients (22 males, 83 females) with PTC who were undergone ultrasonographic examination within 3 months before operation were reviewed retrospectively. We measured the longest diameter of tumor in both ultrasonographic findings and pathogic results and were compared with size according to tumor nature (solid vs mixed types) in both examination. Data was analyzed by linear regression analysis. Results: Mean preoperative ultrasonographic tumor size were greater than pathologic size. Decreasing rate of tumor size are 15.7% in all cases and 7.7% in the solid type. The tumor size by preoperative ultrasonosgraphy are strong correlation with size of pathologic results in all cases (n=105, γ<sup>2</sup>= 0.602, p<0.05) and solid type (n=97, γ<sup>2</sup>=0.706, p<0.05). But there is no significant correlation with size measured by ultrasonographic and pathologic findings in mixed type (n=8, γ<sup>2</sup>=208, p>0.05). Conclusion: There are some size discrepancy between preoperative ultrasonographic findings and pathologic results, especially mixed type. The decision of surgical extent based on preoperative ultrasonographic finding would be considered its size discrepancy.