갑상선암과 자궁내막암에서 동시에 전이된 경부림프절에 관한 증례
Case of Synchronous Central Neck Node Metastases from Both Primary Thyroid Cancer and from Endometrial Cancer to the Thyroid
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A 54-year-old woman presenting with dizziness was diagnosed with a metastatic brain tumor. Imaging studies to identify the primarycancer revealed endometrial thickening with a left adnexal mass, enlarged bilateral external iliac lymph nodes, and multipleattenuated nodules in both lobes of the thyroid gland with enlarged central neck nodes. After curettage of the uterine endometriumand ultrasonography-guided gun biopsy of the thyroid gland to confirm uterine and thyroid cancers, respectively, total abdominalhysterectomy with Histopathologic examination of the removed tissues demonstrated both endometrial carcinoma metastasis to the thyroid gland andprimary thyroid cancer with synchronous central neck node metastasis originating in the endometrium and thyroid. Three of thefour right central lymph nodes were positive for metastatic papillary carcinoma; on the other hand, the remaining right centrallymph node and onbilateral salpingo-oophorectomy and total thyroidectomy with bilateral central neck dissection were performed. e of the two left central lymph nodes were confirmed to be positive for metastatic endometrial carcinoma.
Abstract
A 54-year-old woman presenting with dizziness was diagnosed with a metastatic brain tumor. Imaging studies to identify the primarycancer revealed endometrial thickening with a left adnexal mass, enlarged bilateral external iliac lymph nodes, and multipleattenuated nodules in both lobes of the thyroid gland with enlarged central neck nodes. After curettage of the uterine endometriumand ultrasonography-guided gun biopsy of the thyroid gland to confirm uterine and thyroid cancers, respectively, total abdominalhysterectomy with Histopathologic examination of the removed tissues demonstrated both endometrial carcinoma metastasis to the thyroid gland andprimary thyroid cancer with synchronous central neck node metastasis originating in the endometrium and thyroid. Three of thefour right central lymph nodes were positive for metastatic papillary carcinoma; on the other hand, the remaining right centrallymph node and onbilateral salpingo-oophorectomy and total thyroidectomy with bilateral central neck dissection were performed. e of the two left central lymph nodes were confirmed to be positive for metastatic endometrial carcinoma.
참고문헌 (10)
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