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

被引：11

作者：

Lee, Sunhye ^{[1
]}

Kim, Yon Seon ^{[2
]}

Lee, Jeong Hyeon ^{[3
]}

Hwang, Sung Ho ^{[1
]}

Oh, Yu-Hwan ^{[1
]}

Ko, Byung Kyun ^{[2
]}

Ham, Soo-Youn ^{[4
]}

机构：

[1] Korea Univ, Coll Med, Anam Hosp, Dept Radiol, Seoul, South Korea

[2] Ulsan Univ, Coll Med, Ulsan Univ Hosp, Dept Surg, Ulsan, South Korea

[3] Korea Univ, Coll Med, Anam Hosp, Dept Pathol, Seoul, South Korea

[4] Kangbuk Samsung Med Ctr, Dept Radiol, 29 Saemoonan, Seoul 03181, South Korea

来源：

ANNALS OF SURGICAL TREATMENT AND RESEARCH | 2018年 / 94卷 / 06期

关键词：

Thyroid neoplasms; Surgery; X-ray computed tomography; SETTLE; METASTASIS;

D O I：

10.4174/astr.2018.94.6.337

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：337 / 341

页数：5

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