KMID : 1004320150260020133
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Journal of the Korean Society of Logopedics and Phoniatrics 2015 Volume.26 No. 2 p.133 ~ p.136
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A Case of Recurrent Spindle Cell Epithelial Tumor of Thymus-Like Differentiation (SETTLE) in the Glottis
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Park Woo-Ri
Choi Na-Yeon Chung Man-Ki
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Abstract
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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.
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KEYWORD
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Spindle epithelial tumor with thymus-like differentiation , Thyroid , Metastasis , Vocal cord , Surgery
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