Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2010; 21(2):288-292

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

DOI: https://doi.org/10.35420/jcohns.2010.21.2.288

증례

악성종양으로 오인된 전종격동의 이소성 갑상선 결절성 과증식증 1예

박창묵¹, 안동빈¹, 박지영², 박준식¹^,^*

Ectopic Thyroid Nodular Hyperplasia Misdiagnosed as an Anterior Mediastinal Malignant Mass : A Case Report

Chang Mook Park¹, Dong-Bin Ahn¹, Ji Young Park², June Sik Park¹^,^*

¹경북대학교 의학전문대학원 이비인후-두경부외과학교실

²병리과학교실

¹Department of Otorhinolaryngology-Head and Neck Surgery, Daegu, Korea

²Pathology, Kyungpook National University Hospital, School of Medicine, Daegu, Korea

^*교신저자: 박준식, 700-721 대구광역시 중구 동덕로 200 경북대학교 의학전문대학원 이비인후-두경부외과학교실 전화 :(053) 420-5783·전송:(053) 423-4524 E-mail:junesik@knu.ac.kr

© Copyright 2010 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: Jul 13, 2010; Revised: Jul 28, 2010; Accepted: Aug 31, 2010

Published Online: May 31, 2020

ABSTRACT

We describe a case of ectopic thyroid nodular hyperplasia, which mimicked a lymph node metastasis from a primary occult thyroid carcinoma. 50-year female was admitted to our clinic because of anterior mediastinal mass. On physical examination, there was a single, non-tender, firm swelling situated in the left supraclavicular region. Contrast-enhanced neck-chest CT showed about 5 cm-sized heterogeneous mass being strongly suspicious to malignancy such as a thymic carcinoma. PET-CT also revealed a circular lesion accompanied partially intense FDG uptake at the inferolateral area of left thyroid. Excision of the tumor was performed. Conventional biopsy proved a ectopic thyroid nodular hyperplasia which could mimic a metastasis of the thyroid carcinoma. Being aware of the possibility ectopic thyroid nodular hyperplasia is important so that unnecessary surgical assessment and undesirable sequelae should be avoided. (J Clinical Otolaryngol 2010;21:288-292)

Keywords: 이소성 갑상선; 결절성 과증식증

Keywords: Ectopic thyroid; Nodular hyperplasia