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The Korean Journal of Medicine 2006;70(4): 455-461.
증례 : 천미골 기형종에서 발생한 갑상선 유두선암 1예
이유진, Young Joo Park, Ki Young Choi, Hong Il Kim, Hak Chul Jang, Bo Youn Cho, Hyun Jib Kim
Case Reports : A case of papillary thyroid carcinoma arising from sacrococcygeal teratoma
You Jin Lee, Young Joo Park, Ki Young Choi, Hong Il Kim, Hak Chul Jang, Bo Youn Cho, Hyun Jib Kim
한림의대 한강성심병원 내과
ABSTRACT
35-year-old female presented with recurrent spinal mass that was resected. Pathologic examination revealed mature teratoma consisting of thyroid follicles, fibroadipose tissue, and mature bony particles. And in this teratoma, focal area of papillary thyroid carcinoma component arising from the normal thyroid follicles were observed. This finding was clearly distinguished from metastasis from thyroid or from other sites. The patients underwent evaluation of thyroid gland, and there was a 1.2¡¿1.1¡¿2 cm sized nodule. It was well-margined, round, mixed and hyperechoic by sonographic evaluation, and its aspirates contained benign-looking follicular cells only. The patient refused further evaluation or treatment about thyroid cancer, and was discharged. To date, there are only one case of thyroid carcinoma arising from a sacrococcygeal mass containing thyroid tissue components alone (Thyroid 2004:14:548-552). We believe that this patient is a very rare case of thyroid cancer primarily arising from teratoma due to malignant transformation of its thyroid tissue component.(Korean J Med 70:455-461, 2006) Key Words : Teratoma, Carcinoma, Papillary, Thyroid
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