갑상선 절제술 시행 수 년 경과 후 발생한 소포암종 뼈전이 증례 2예
Two Cases of Bone Metastasis from Follicular Thyroid Carcinoma Several Years after Initial Thyroidectomy
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A 78-year-old woman presented with epigastric discomfort with nausea, and an abdominal CT revealed a rib mass and gall bladder polyp. She had had a subtotal thyroidectomy of a 4.2×3 cm-sized follicular thyroid carcinoma 19 years ago. The rib mass was excised and its histological examination showed a metastatic carcinoma from a follicular thyroid carcinoma. One month later we carried out a completion thyroidectomy, and we will perform radioactive ablation with 131I. A 64-year-old woman presented to our clinic for leg motor weakness and we found a T7 pathologic fracture by X-ray and MRI. She had had a left thyroid lobectomy for a minimal invasive follicular thyroid carcinoma measuring 4 cm at the greatest diameter. Anterior-decompression and fusion were carried out, and histological examination showed a metastatic lesion from the thyroid. Then we performed a completion thyroidectomy and 131I radioactive ablation one month later. Radioactive ablation should be performed for large-sized follicular carcinomas to prevent recurrences.
Abstract
A 78-year-old woman presented with epigastric discomfort with nausea, and an abdominal CT revealed a rib mass and gall bladder polyp. She had had a subtotal thyroidectomy of a 4.2×3 cm-sized follicular thyroid carcinoma 19 years ago. The rib mass was excised and its histological examination showed a metastatic carcinoma from a follicular thyroid carcinoma. One month later we carried out a completion thyroidectomy, and we will perform radioactive ablation with 131I. A 64-year-old woman presented to our clinic for leg motor weakness and we found a T7 pathologic fracture by X-ray and MRI. She had had a left thyroid lobectomy for a minimal invasive follicular thyroid carcinoma measuring 4 cm at the greatest diameter. Anterior-decompression and fusion were carried out, and histological examination showed a metastatic lesion from the thyroid. Then we performed a completion thyroidectomy and 131I radioactive ablation one month later. Radioactive ablation should be performed for large-sized follicular carcinomas to prevent recurrences.
참고문헌 (22)
- 안화영, "우리나라 갑상선암의 발생 현황 및 특징", 대한내과학회지, 77(5), pp.537~542 (2009), 대한내과학회
- Sciuto R, "Natural history and clinical outcome of differentiated thyroid carcinoma: a retrospective analysis of 1503 patients treated at a single institution", Ann Oncol, 20, pp.1728~1735 (2009)
- Ito Y, "Prognostic factors of papillary and follicular carcinomas in Japan based on data of kuma hospital", J Thyroid Res, 2012, pp.973497~ (2012)
- Pittas AG, "Bone metastases from thyroid carcinoma: clinical characteristics and prognostic variables in one hundred forty-six patients", Thyroid, 10, pp.261~268 (2000)
- Schlumberger M, "Radioactive iodine treatment and external radiotherapy for lung and bone metastases from thyroid carcinoma", J Nucl Med, 37, pp.598~605 (1996)
- Correa P, "Endocrine gland cancer", Cancer, 75(1), pp.338~352 (1995)
- Lin JD, "Prognostic variables of papillary and follicular thyroid carcinoma patients with lymph node metastases and without distant metastases", Endocr Relat Cancer, 6, pp.109~115 (1999)
- Shoup M, "Prognostic indicators of outcomes in patients with distant metastases from differentiated thyroid carcinoma", J Am Coll Surg, 197, pp.191~197 (2003)
- Brown AP, "Radioiodine treatment of metastatic thyroid carcinoma: the Royal Marsden Hospital experience", Br J Radiol, 57, pp.323~327 (1984)
- Casara D, "Distant metastases in differentiated thyroid cancer: long-term results of radioiodine treatment and statistical analysis of prognostic factors in 214 patients", Tumori, 77, pp.432~436 (1991)
- Mazzaferri EL, "An overview of the management of papillary and follicular thyroid carcinoma", Thyroid, 9, pp.421~427 (1999)
- Lee JG, "Histologic degree of invasion and prognosis in follicular thyroid carcinoma", Korean J Endocr Surg, 6, pp.94~97 (2006)
- Cooper DS, "Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer", Thyroid, 19, pp.1167~1214 (2009)
- Klain M, "Radioiodine therapy for papillary and follicular thyroid carcinoma", Eur J Nucl Med Mol Imaging, 29(2), pp.S479~S485 (2002)
- Stojadinovic A, "The role of operations for distantly metastatic well-differentiated thyroid carcinoma", Surgery, 131, pp.636~643 (2002)
- Beierwaltes WH, "Survival time and "cure" in papillary and follicular thyroid carcinoma with distant metastases: statistics following University of Michigan therapy", J Nucl Med, 23, pp.561~568 (1982)
- Do MY, "Clinical features of bone metastases resulting from thyroid cancer: A review of 28 patients over a 20-year period", ENDOCRINE JOURNAL, 52(6), pp.701~707 (2005)
- Schlumberger M, "Radioactive iodine treatment and external radiotherapy for lung and bone metastases from thyroid carcinoma", J Nucl Med, 37, pp.598~605 (1996)
- Mizukami Y, "Late bone metastasis from an encapsulated follicular carcinoma of the thyroid without capsular and vascular invasion", Pathol Int, 46, pp.457~461 (1996)
- Suganuma N, "Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report", J Med Case Reports, 3, pp.7259~ (2009)
- Lin JD, "Follicular thyroid carcinoma: From diagnosis to treatment", Endocr J, 53, pp.441~448 (2006)
- da Silva RD, "Diagnostic accuracy of frozen section tests for surgical diseases", Rev Col Bras Cir, 38, pp.149~154 (2011)