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Solitary Skull Metastasis as the Initial Sign of Follicular Thyroid Cancer - A Case Report -

Other Title
갑상선 여포암의 초기 증상으로서의 단발성 두개골 전이 1예
Authors
최, 수윤; 차, 진우; 송, 선춘; 소, 의영; 김, 장희
Citation
Korean journal of head & neck oncology, 23(1):41-45, 2007
Journal Title
Korean journal of head & neck oncology; 대한두경부종양학회지
ISSN
1229-5183
Abstract
A 60 years old female patient presented with 8{times}6;cm sized painless oval mass in the left parietal region. She had left lobectomy of thyroid gland 10 years ago. Cranial CT, MRI, FGD PET-CT showed a solid mass which invaded left parietal bone. After embolization, craniectomy with tumor excision was performed. Histological examination revealed metastatic follicular cancer originated thyroid gland, with vascular and dura invasion. Postoperatively, neck CT showed right thyroid multiple nodules and right level III multiple lymph node enlargement. Thyroid function test was normal, but level of thyroglobulin was high (72ng/ml). So she had right lobectomy of thyroid gland with lymph node dissection under a diagnosis of follicular carcinoma. But histological examination revealed adenomatous hyperplasia and not lymph node metastasis. After operation, she received radioiodine therapy of 150mCi and then the level of thyroglobulin normalized (8.4ng/ml). The patient is under follow-up since she had operation 4 months ago.
Keywords
갑상선 여포암두정골 전이Thyroid follicular carcinomaParietal bone metastasis
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pathology
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
AJOU Authors
최, 수윤차, 진우소, 의영김, 장희
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