성대마비를 동반한 갑상선 종양으로 오인된 Zenker게실 치험 1예
A Case of Zenker’s Diverticulum Mimicking the Thyroid TumorAssociated with Vocal Cord Palsy
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Abstract
We usually consider the anterior neck mass associated with ipsilateral vocal cord paralysis as a thyroid tumor. Zenkers diverticulum (ZD) is classically defined as a pulsion diverticulum between the cricopharyngeal muscle and inferior constrictor muscle in an area of Killian's triangle. If ZD increases sufficiently, it might be presented as a anterior neck mass, or a thyroid tumor. In the literature, ZD has been rarely presented as a thyroid mass associated with ipsilateral vocal cord palalysis. ZD occurs predominantly in the elderly and induces non-specific symptoms such as dysphagia, regurgitaion, aspiration pneumonia, and halitosis. Vocal cord paralysis associated with ZD may be related to carcinoma occurring in ZD. We report, with a brief review of literature, a case of ZD mimicking the thyroid tumor associated with vocal cord paralysis and treated with surgery.. (Korean J Otolaryngol 2006;49:241-5)
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