흉곽 내 림프절에서 발생한 원발성 갑상선 유두상 암종 1예 = One Case of a Primary Papillary Thyroid Carcinoma in the Intrathoracic Lymph Node

다국어 초록 (Multilingual Abstract)

A primary papillary thyroid carcinoma in the intrathoracic lymph node is very rare. There are two potential explanations of the lesion. The first possibility of the lesion is metastatic disease from an occult primary thyroid papillary microcarcinoma. Other possibility is malignant transformation of the aberrant thyroid tissue within the intrathoracic lymph node, which is the favored etiology in this case. We experienced an extremely rare case of true intrathoracic thyroid cancer in a 78-year-old woman, presenting with an intrathoracic malignancy. We confirmed it as papillary thyroid cancer, but there were no primary sites of thyroid glands. So, we report this rare case of a primary papillary thyroid carcinoma in the intrathoracic lymph node.

참고문헌 (Reference)

1 Shieldx TW, "Thyroid. In Thoracic Surgery" Churchill Livingstone 1454-1464, 1995

2 Radkowski D, "Thyroglossal duct remnants.Preoperative evaluation and management" 117 (117): 1378-1381, 1991

3 Grondin SC, "Thoracoscopic resection of an ectopic intrathoracic goiter" 71 (71): 1697-1698, 2001

4 Wang Z, "Histopathologic and immunohistochemical characterization of a primary papillary thyroid carcinoma in the lateral cervical lymph node" 82 (82): 91-94, 2007

5 James M, "High frequency(10 Mhz)thyroid ultrasonography" 6 (6): 298-304, 1985

6 Okstad S, "Ectopic thyroid tissue in the head and neck" 15 (15): 52-55, 1986

7 Shimaoka K, "Differentiation of benign and malignant thyroid nodules by scintiscan" 114 : 36-39, 1964

8 Wong RJ, "Cervical ectopic thyroid" 19 (19): 397-400, 1998

9 Cinberg JZ, "Cervical cysts:cancer until proven otherwise" 92 (92): 27-30, 1982