갑상선 유두암 환자에서 전이성 양측 림프절로 가장한 Kikuchi-Fujimoto병: 증례 보고 및 문헌 고찰
Kikuchi-Fujimoto Disease Masquerading as Bilateral Lymph Node Metastasis in a Patient With Papillary Thyroid Carcinoma: A Case Report and Literature Review
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초록
Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is commonin young Asian women under the age of 30, and is usually characterized by fever, myalgia,fatigue, and cervical lymphadenopathy. Because patients with KFD often present withnecrotic lesions that are also features of lymph node metastasis, ipsilateral or bilateral lymphnode enlargement in head and neck cancer patients can be disguised as lymph node metastasis. We present an unusual case of KFD mimicking bilateral metastatic papillary carcinoma ofthe thyroid. This study emphasizes that KFD should be considered when diagnosing lymphnodes with necrotic lesions but without malignant cells in young women.
Abstract
Kikuchi-Fujimoto disease (KFD), also known as histiocytic necrotizing lymphadenitis, is commonin young Asian women under the age of 30, and is usually characterized by fever, myalgia,fatigue, and cervical lymphadenopathy. Because patients with KFD often present withnecrotic lesions that are also features of lymph node metastasis, ipsilateral or bilateral lymphnode enlargement in head and neck cancer patients can be disguised as lymph node metastasis. We present an unusual case of KFD mimicking bilateral metastatic papillary carcinoma ofthe thyroid. This study emphasizes that KFD should be considered when diagnosing lymphnodes with necrotic lesions but without malignant cells in young women.
참고문헌 (15)
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