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KMID : 1004320150260020133
Journal of the Korean Society of Logopedics and Phoniatrics
2015 Volume.26 No. 2 p.133 ~ p.136
A Case of Recurrent Spindle Cell Epithelial Tumor of Thymus-Like Differentiation (SETTLE) in the Glottis
Park Woo-Ri

Choi Na-Yeon
Chung Man-Ki
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.
KEYWORD
Spindle epithelial tumor with thymus-like differentiation , Thyroid , Metastasis , Vocal cord , Surgery
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