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KMID : 0361020150580010048
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Korean Journal of Otolaryngology - Head and Neck Surgery
2015 Volume.58 No. 1 p.48 ~ p.51
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A Case of Pyriform Sinus Fistula Concurrent with Papillary Thyroid Carcinoma in a 72-Year-Old Patient
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Jung Yun-Young
Ahn Dong-Bin
Kim Hee-Jin
Sohn Jin-Ho
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Abstract
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Since branchial anomalies are developmental disorders, pyriform sinus fistula (PSF) has been considered as a pediatric disease, and most reports of PSF with clinical symptoms have thus been on neonatal and young children. There are only a few case reports worldwide, of PSF found in adult patients. Here, we report a case where the patient’s initial symptom of PSF occurred at the age of 72. Interestingly, papillary thyroid carcinoma (PTC) was concurrently identified on computed tomography during the evaluation for PSF. Chemical cauterization and total thyroidectomy was performed for the treatment of PSF and PTC, respectively. This case report may contribute to increased awareness of PSF in adult patients and the possible coexistence of thyroid cancer in these patients.
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KEYWORD
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Adult, Branchial cleft anomalies, Fistula, Pyriform sinus, Thyroid cancer
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