Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man

Sunhye Lee; Yon Seon Kim; Jeong Hyeon Lee; Sung Ho Hwang; Yu-Hwan Oh; Byung Kyun Ko; Soo-Youn Ham

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자료유형: 학술저널

저자정보: Sunhye Lee (Korea University College of Medicine) Yon Seon Kim (University of Ulsan College of Medicine) Jeong Hyeon Lee (Korea University College of Medicine) Sung Ho Hwang (Korea University College of Medicine) Yu-Hwan Oh (Korea University College of Medicine) Byung Kyun Ko (University of Ulsan College of Medicine) Soo-Youn Ham (Kangbuk Samsung Medical Center)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.6

발행연도: 2018.6

수록면: 337 - 341 (5page)

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Spindle epithelial tumor with thymus-like differentiation (SETTLE) is a very rare tumor of the thyroid gland mostly occurring in young patients. The imaging findings of SETTLE tumors are yet to be defined. However, they are usually described as well-defined heterogeneously enhanced masses on CT scan. The current case has the potential growth as compared with a 2009 chest radiography. We took into account the possibility of SETTLE in the case of a bulky mass in patients over 70 years old, particularly in the lower neck. Herein, we report a case of the oldest patient so far. The patient underwent a right lobectomy of the thyroid and mass excision. Follow-up CT scans after 6 months revealed no local recurrence. Surgery is the gold standard treatment for SETTLE. Chemotherapy and radiotherapy could be another possible option for patients with advanced stage SETTLE.

#Thyroid neoplasms #Surgery #X-ray computed tomography

참고문헌 (10)

참고문헌 신청

[학술지(정기간행물)] - Chan JK / 1991 / Tumors of the neck showing thymic or related branchial pouch differentiation: a unifying concept / Hum Pathol 22 : 349 ~ 367

[학술지(정기간행물)] - Harach HR / 1985 / Thyroid spindle-cell tumor with mucous cysts. An intrathyroid thymoma? / Am J Surg Pathol 9 : 525 ~ 530

[학술지(정기간행물)] - Cheuk W / 2000 / Spindle epithelial tumor with thymus-like differentiation (SETTLE): a distinctive malignant thyroid neoplasm with significant metastatic potential / Mod Pathol 13 : 1150 ~ 1155

[학술지(정기간행물)] - Abrosimov AY / 2005 / Spindle epithelial tumor with thymus-like differentiation (SETTLE) of the thyroid with neck lymph node metastasis: a case report / Endocr Pathol 16 : 139 ~ 143

[학술지(정기간행물)] - Levey M / 1976 / An unusual thyroid tumor in a child / Laryngoscope 86 : 1864 ~ 1868

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