상부 위장관 내시경으로 진단한 국소 전이된 갑상선 유두암 1예
A Case of Locally Invasive Thyroid Papillary Cancer Diagnosed by Esophagoscopy
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초록
갑상선 유두암은 국소 침범을 잘하지 않고 예후가 매우 좋은 암이지만, 기관이나 식도 등으로 국소 침범을 하게 되면 사망률은 급격히 증가하게 된다. 갑상선 암의 첫 증상은 대부분 목의 종괴로 나타나며, 드물게 호흡기나 소화기 증상을 나타내기도 한다. 갑상선 질환에 대한 과거력이 없는, 연하곤란을 주소로 내원한 환자에서 상부위장관 내시경 검사에서 식도 내강으로 돌출한 종괴가 있었으며, 그 조직 검사에서 갑상선 유두암을 진단하였다. 저자들은 상부 위장관 내시경 조직검사로 갑상선 유두암을 진단하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Papillary carcinoma is the most common malignant tumor of the thyroid gland, and it only infrequently invades the upper aerodigestive tract. When such invasion does occur, it is a source of significant morbidity as well as mortality. Although most thyroid tumors first clinically manifest as a neck mass, there have been few reports of patients whose initial compliant was a disturbance of the aerodigestive tract. The patient in our present study had no significant past medical history, and esophagoscopy and biopsy revealed papillary adenocarcinoma. We report here on a case of thyroid papillary carcinoma that was diagnosed by esophagoscopic biopsy.
참고문헌 (14)
- Agha FP, "Sencondary neoplasms of the esophagus", Gastrointest Radiol, 12, pp.187~193 (1987)
- Hoie J, "Distant metastases in papillary thyroid cancer. in: A review of 91 patients", Cancer, 61, pp.1~6 (1998)
- Lupoli GA, "Current management of differentiated thyroid carcinoma", Med Sci Monit, 11, pp.368~373 (2005)
- McCaffrey JC, "Aerodigestive tract invasion by well-differentiated thyroid carcinoma: diagnosis, management, prognosis, and biology", Laryngoscope, 116, pp.1~11 (2006)
- McCaffrey TV, "Locally invasive papillary thyroid carcinoma: 1940-1990", Head Neck, 16, pp.165~172 (1990)
- Tovi F, "Locally aggressive differentiated thyroid carcinoma", J Surg Oncol, 29, pp.99~104 (1985)
- McCaffrey TV, "Thyroid cacinoma invading the upper aerodigestive system", Laryngoscope, 100, pp.824~830 (1990)
- Shin DH, "Pathologic staging of papillary carcinoma of the thyroid with airway invasion based on the anatomic manner of extension to the trachea: a clinicopathologic study on 22 patients who underwent thyroidectomy and airway resection", Hum Pathol, 24, pp.866~870 (1993)
- Kim ST, "Tracheal shaving in the thyroid papillary carcinoma with airway invasion", Korean J Otolaryngol, 41, pp.377~380 (1998)
- McCaffrey JC, "Evaluation and treatment of aerodigestive tract invasion by well-differentiated thyroid carcinoma", Cancer Control, 7, pp.246~252 (2000)
- Ohshima A, "Endoscopic ultrasonography in the evaluation of thyroid cancer invasion into the esophagus", Surgery, 127, pp.478~479 (2000)
- Koike E, "Endoscopic ultrasonography in patient with thyroid cancer: its usefulness and limitations for evaluation of esophagopharygeal invasion", Endoscopy, 34, pp.457~460 (2002)
- Lee MY, "토혈 및 식도 내 종괴를 보인 전이성 갑상선 유두암 1예", Korean J Gastrointest Endosc, 23, pp.466~469 (2001)
- Cho DS, "A case of occult papillary carcinoma of thyroid, invaded trachea and esophagus", Tuberc Respir Dis, 44, pp.1125~1131 (1997)