Article

설갑상선의 1례

정진욱1, 김상민1, 박구진1, 김종애1
Jin Uck Jung1, Sang Min Kim1, Gu Jin Park1, Chong Ae Kim1
Author Information & Copyright
1부산 침례병원 이비인후과
1Department of Otolaryngology, Wallace Memorial Baptist Hospital, Busan

© Copyright 1992 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.

Published Online: May 31, 2020

ABSTRACT

The occurrence of a lingual thyroid is not common. It usually results from failure of descent from the foramen cecum of the primitive thyroid anlage in the embryo. The incidence is much higher in female and seventy percent or more of the case have no other functioning thyroid.

While diagnosis may be suspected by clinical observation, it should be confirmed by scanning of the neck and tongue area after the ingestion of radioactive iodine, and biopsy.

The treatment varies, depending upon the problem that arise.

Recently the authors experienced one case of lingual thyroid who admitted because of frequent horseness and the foreign body sensation in the throat. It is a case of lingual thyroid with normally located functioning thyroid gland in 22 year-old female patient. The coexience of a lingual thyroid with a normally located functioning thyroid gland is thus very rare, so we report this case with review of literatures.

Keywords: Lingual thyroid; A case report


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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