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


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.

 

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