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Korean J Med > Volume 86(3); 2014 > Article
The Korean Journal of Medicine 2014;86(3): 343-348.
갑상선암과 자궁내막암에서 동시에 전이된 경부림프절에 관한 증례
박경선1, 박효진2, 홍아람1, 김영기1, 문재훈3, 박영주1
1서울대학교 의과대학 내과학교실
2분당서울대학교병원 병리과
3분당서울대학교병원 내과
Case of Synchronous Central Neck Node Metastases from Both Primary Thyroid Cancer and from Endometrial Cancer to the Thyroid
Kyeong Seon Park1, Hyo Jin Park2, A Ram Hong1, Yeong Gi Kim1, Jae Hoon Moon3, Young Joo Park1
1Department of Internal Medicine, Seoul National University College of Medicine, Seoul
2Departments of Pathology, Seoul National University Bundang Hospital, Seongnam, Korea
3Departments of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
Corresponding Author: Young Joo Park ,Tel: +82-2-2072-4183, Fax: +82-2-762-9662, Email: yjparkmd@snu.sc.kr
Received: 2013. 6. 10;  Accepted: 2013. 10. 2.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
A 54-year-old woman presenting with dizziness was diagnosed with a metastatic brain tumor. Imaging studies to identify the primary cancer revealed endometrial thickening with a left adnexal mass, enlarged bilateral external iliac lymph nodes, and multiple attenuated nodules in both lobes of the thyroid gland with enlarged central neck nodes. After curettage of the uterine endometrium and ultrasonography-guided gun biopsy of the thyroid gland to confirm uterine and thyroid cancers, respectively, total abdominal hysterectomy with bilateral salpingo-oophorectomy and total thyroidectomy with bilateral central neck dissection were performed. Histopathologic examination of the removed tissues demonstrated both endometrial carcinoma metastasis to the thyroid gland and primary thyroid cancer with synchronous central neck node metastasis originating in the endometrium and thyroid. Three of the four right central lymph nodes were positive for metastatic papillary carcinoma; on the other hand, the remaining right central lymph node and one of the two left central lymph nodes were confirmed to be positive for metastatic endometrial carcinoma. (Korean J Med 2014;86:343-348)
Keywords: Papillary thyroid cancer; Endometrial neoplasm; Lymph nodes; Lymphatic metastasis
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