흉수로 발현한 유두모양 갑상샘암
A Case of Papillary Thyroid Cancer Presenting as Pleural Effusion
조원민 (고려대학교)
김제형 (고려대학교)
서지아 (고려대학교)
이주한 (고려대학교)
신철 (고려대학교)
- 다운로드 수
- 조회수
Abstract
We report the patient presented with a left-sided pleural effusion. Pleural fluid analysis revealed lymphocyte-dominant exudates with lower level of adenosine deaminase and negative cytologic malignancy. Thoracoscopic examination and histologic examination revealed metastatic nodules on pleurae, proven to be from the papillary thyroid cancer. There were no other sites of distant metastases. Though papillary thyroid cancer is characterized with slow progression and relatively good prognosis, metastatic pleural effusion as an initial manifestation of undiagnosed papillary thyroid cancer can be considered.
- keywords
- Thyroid cancer, Malignant pleural effusion, Thoracoscopic surgical procedures
참고문헌
1. Schlumberger MJ. Papillary and follicular thyroid carcinoma. N Engl J Med 1998;338:297-306.
2. Sosa JA, Udelsman R. Papillary thyroid cancer. Surg Oncol Clin N Am 2006;15:585-601.
3. Shaha AR, Shah JP, Loree TR. Differentiated thyroid cancer presenting initially with distant metastasis. Am J Surg 1997;174:474-6.
4. Vernon AN, Sheeler LR, Biscotti CV, Stoller JK. Pleural effusion resulting from metastatic papillary carcinoma of the thyroid. Chest 1992;101:1448-50.
5. Medford A, Maskell N. Pleural effusion. Postgrad Med J 2005;81:702-10.
6. Rahman NM, Chapman SJ, Davies RJ. Pleural effusion:a structured approach to care. Br Med Bull 2004;72:31-47.
7. Kim NJ, Hong SC, Kim JO, Suhr JW, Kim SY, Ro HK.Etiologic considerations of nonspecific pleuritis. Korean J Intern Med 1991;6:58-63.
8. Laniado-Laborin R. Adenosine deaminase in the diagnosis of tuberculous pleural effusion: is it really an ideal test? A word of caution. Chest 2005;127:417-8.
9. Vassilopoulou-Sellin R, Sneige N. Pleural effusion in patients with differentiated papillary thyroid cancer.South Med J 1994;87:1111-6.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수