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J Korean Soc Laryngol Phoniatr Logop > Volume 26(2); 2015 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2015;26(2): 133-136.
성문에서 발생한 재발성 흉선상 방추상 상피세포 종양(Spindle Epithelial Tumor with Thymus-Like Differentiation, SETTLE) 1예
박우리, 최나연, 정만기
성균관대학교 의과대학 삼성서울병원 이비인후과학교실
A Case of Recurrent Spindle Cell Epithelial Tumor of Thymus-Like Differentiation (SETTLE) in the Glottis
Woori Park, Nayeon Choi, Man Ki Chung
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
ABSTRACT
Spindle epithelial tumor with thymus-like differentiation (SETTLE) is an extremely rare type of thyroid tumor, with spares reports on its clinical course. SETTLE is derived from branchial pouch or thymic remnants, and classified as a low grade, malignant neoplasm due to its indolent growth and tendency to develop delayed metastasis. Therefore, stringent initial workups and long-term follow-up are required to prevent misdiagnosis. We present a case of recurrent spindle epithelial tumor with thymus-like differentiation (SETTLE) in the glottis of 57 year-old male patient, who had a history of surgical excision for the SETTLE from the thyroid gland 5 years ago. Transoral CO2 laser surgery was performed to remove the glottic tumor and there was no evidence of local recurrence at 11 months postoperatively.
KEY WORDS: Spindle epithelial tumor with thymus-like differentiation;Thyroid;Metastasis;Vocal cord;Surgery;
중심 단어: 흉선상 방추상 상피세포 종양;갑상선;전이;성암;성문;
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