KMID : 0356620070220040287
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Journal of Korean Society of Endocrinology 2007 Volume.22 No. 4 p.287 ~ p.291
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Solitary Papillary Thyroid Microcarcinoma (0.3 cm in Diameter) Presenting Multiple Distant Metastases at the Time of Diagnosis
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Kim Tae-Hyun
Kim Jung-Han Oh Young-Lyun Hwang You-Chul Jung Jung-Hwa Jung Hye-Seung Kang Mi-Ra Min Yong-Ki Lee Myung-Shik Lee Moon-Kyu Kim Kwang-Won Chung Jae-Hoon
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Abstract
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Papillary thyroid microcarcinoma (PTMC) is defined as being 1 cm or less in diameter. Although the prognosis of PTMC is known to be more favorable than that of papillary thyroid carcinoma greater than 1 cm in diameter, pathologic factors suggesting aggressiveness, such as multifocality and lymph node invasion, have been reported to be highly prevalent in PTMC. However, the rate of distant metastasis in patients with PTMC is very low. Many investigators have reported that initial distant metastasis was detected only in patients with PTMC greater than 0.4 cm in diameter, however these cases have involved only one organ, usually the lung. We report here on an extremely unusual case of solitary PTMC (0.3 cm in diameter) presenting multiple distant metastases at the time of diagnosis.
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KEYWORD
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Multiple distant metastases, Papillary thyroid microcarcinoma
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