임상

갑상설관 잔유조직에서 발생한 유두상 선암 1례

최홍식1, 김창규1, 김명상1
Hong Shik Choi1, Chang Kyu Kim1, Myung Sang Kim1
Author Information & Copyright
1연세대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, Yonsei University College of Medicine

© Copyright 1994 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

Thyroglossal cysts are common abnormalities of thyroid development that present as palpable and usually asymptomatic neck masses. The development of carcinoma in a cyst of this type is extremely rare. Since 1915, fewer than 100 cases have been reported.

Authors report 1 case of thyroglossal duct carcinoma in 25-year-old female patient. Comparing with the common thyroglossal duct cyst, the mass was larger and harder, and had irregular surface. Thyroid scan, fine needle aspiration biopsy and MRI were included as the preoperative evaluation. Wide local excision of the mass including the overlying skin with the bilateral supraomohyoid neck dissection was done and postoperative radiotherapy(5040 cGy) was taken. The patient has been followed for 5 months without evidence of recurrence.

Keywords: Thyroglossal duct carcinoma; Papillary adenocarcinoma


36권 4호 Quiz 및 정답, 해설

정답 ④

설하신경자극술의 핵심 치료 원리는 설하신경의 내측 분지를 선택적으로 
자극하여 이설근(genioglossus muscle)의 전방 돌출을 유도함으로써 
수면 중 상기도의 기능적 개방성을 유지하는 것이다. 기존 Inspire® 시스템은 
흡기 노력 감지 센서를 이용해 자극을 호흡 주기와 동기화하며, Nyxoah Genio® 
시스템은 양측 설하신경을 동시에 자극하는 무배터리 구조를 채택한 최신 장치이다. 
반면 Ansa cervicalis stimulation은 혀가 아닌 인두 구조물의 미측 견인을 통해 
상기도를 안정화시키는 다른 기전을 가진다.

 

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