J Clin Otolaryngol Head Neck Surg 2015; 26(2):307-311

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2015.26.2.307

증례

갑상선의 유두상암종과 동반된 Carcinoma Showing Thymus-Like Differentiation(CASTLE) 1예

곽기환1, 이진걸1, 이준기1, 박준호1,*
A Case of Carcinoma Showing Thymus-Like Differentiation (CASTLE) Combined with Papillary Carcinoma in the Thyroid
Ki Hwan Kwak1, Jin Geol Lee1, Jun Ki Lee1, Jun Ho Park1,*
Author Information & Copyright ▼
1대구파티마병원 이비인후과
1Department of Otolaryngology-Head and Neck Surgery, Daegu Fatima Hospital, Daegu, Korea
*교신저자: 박준호, 41199 대구광역시 동구 아양로 99번지 대구파티마병원 이비인후과 전화 :(053) 940-7350·전송:(053) 954-7417 E-mail:jhpark@fatima.or.kr

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 30, 2015; Revised: Nov 05, 2015; Accepted: Nov 23, 2015

Published Online: May 31, 2020

ABSTRACT

Carcinoma showing thymus-like differentiation (CASTLE) is rare carcinoma of the thyroid or surrounding soft tissue of the neck with a histologically resemble to thymic epithelial tumors. It originates from ectopic thymus or branchial pouch remnants. Treatment is surgical excision and prognosis is good. Differential diagnosis is squamous cell carcinoma of thyroid and lymphoepithelioma of thymus. We report a case of CASTLE combined with papillary carcinoma of the thyroid that we treated by surgery, radio-iodine therapy and radiation therapy. The initial FNA showed that the smear was consistent with papillary carcinoma of the thyroid. (J Clinical Otolaryngol 2015;26:307-311)

Keywords: 흉선; 갑상선
Keywords: Thymus; Thyroid

Journal of Clinical Otolaryngology Head and Neck Surgery
Department of Otolaryngology / Head and Neck Surgery, Pusan ​​National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, Korea
E-mail: jco.hns.1990@gmail.com

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37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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