갈색세포종, 신경절신경종이 동반된 갑상선유두암 1예
A case of papillary thyroid cancer and pheochromocytoma with ganglioneuroma
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초록
갈색세포종은 대부분 산발적으로 발생하고 다른 종양들과 연관되어 있으나 한 종양 내에서 갈색세포종과 신경절신경종이 동반되는 경우는 극히 드물다. 또한 다발내분비종양 제2형에서는 갈색세포종이 갑상선수질암과 관련되어 있으나 갑상선유두암과는 관련성이 드물고 이들간의 관계는 명백히 알려져 있지 않다. 저자들은 갈색세포종과 신경절신경종, 갑상선유두암이 동시에 발생한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Composite tumors containing pheochromocytoma and ganglioneuroma are very rare. We report a 70-year-old female with papillary thyroid carcinoma and a compound adrenal medullary tumor, composed of pheochromocytoma/ ganglioneuroma. She had complained of epigastric discomfort 2 months earlier. Chest computed tomography and pancreatic magnetic resonance imaging revealed an intrathoracic goiter and pancreatic cystic tumor. She underwent an explorative laparotomy, and a left adrenalectomy was done because of an adrenal mass, not the pancreatic mass. The pathological diagnosis was a compound adrenal medullary tumor, composed of pheochromocytoma and ganglioneuroma. Although there was no evidence of thyroid cancer on fine needle aspiration cytology, a total thyroidectomy was done because of the neck discomfort. The pathological diagnosis was a papillary thyroid carcinoma, and she underwent radioactive iodine therapy.
참고문헌 (20)
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