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KMID : 0371420180940060337
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Annals of Surgical Treatment and Research
2018 Volume.94 No. 6 p.337 ~ p.341
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Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man
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Lee Sun-Hye
Kim Yon-Seon
Lee Jeong-Hyeon
Hwang Sung-Ho
Oh Yu-Hwan
Ko Byung-Kyun
Ham Soo-Youn
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Abstract
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Spindle epithelial tumor with thymus-like differentiation (SETTLE) is a very rare tumor of the thyroid gland mostly occurring in young patients. The imaging findings of SETTLE tumors are yet to be defined. However, they are usually described as well-defined heterogeneously enhanced masses on CT scan. The current case has the potential growth as compared with a 2009 chest radiography. We took into account the possibility of SETTLE in the case of a bulky mass in patients over 70 years old, particularly in the lower neck. Herein, we report a case of the oldest patient so far. The patient underwent a right lobectomy of the thyroid and mass excision. Follow-up CT scans after 6 months revealed no local recurrence. Surgery is the gold standard treatment for SETTLE. Chemotherapy and radiotherapy could be another possible option for patients with advanced stage SETTLE.
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KEYWORD
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Thyroid neoplasms, Surgery, X-ray computed tomography
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