- 하악골과두부에 전이된 유두상 갑상선암의 치험례
- ㆍ 저자명
- 김진권,이병인,김형준,서창호,차인호,이의웅,Kim. J.K.,Lee. B.I.,Kim. H.J.,Suh. C.H.,Cha. I.H.,Lee. E.W.
- ㆍ 간행물명
- 대한악안면성형재건외과학회지
- ㆍ 권/호정보
- 1995년|17권 4호|pp.442-446 (5 pages)
- ㆍ 발행정보
- 대한악안면성형재건외과학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Thyroid carcinomas are usually classified as papillary thyroid carcinoma, follicular thyroid carcinoma, medullary thyroid carcinoma and anaplastic thyroid carcinoma. Among the thyroid carcinomas, the incidence of medullary and anaplastic thyroid carcinoma is low, but the rate of lymph node & distant metastasis from them are more common compared to other types. Follicular thyroid carcinoma has a low rate of lymph node metastasis as 10% and has a high occurrence of hematogenous metastasis to lung, bone, brain and liver. Papillary thyroid carcinoma accounts for $60{sim}70%$ of whole thyroid carcinomas and the cervical lymph node metastasis is $21{sim}81%$ including micrometastasis, but the distant metastasis is rare. In the case of bone metastasis, follicular type reveals most frequent, and the rate is about 5%, and more likely to be found on vertebra, pelvis, ribs, femur, and skull. The clinical symptoms of bone metastasis are pain, swelling, pathological fracture and radiologically osteolytic lesions can be observed. But distant metastasis of papillary thyroid carcinoma is very rare and especially, bone metastasis has hardly been reported. The treatment modalities of metastatic thyroid carcinoma to mandible are known as follows : thyroidectomy to treat primary site, resection of the affected site of mandible, external beam radiotherapy and radioiodine therapy etc.