Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man.
10.4174/astr.2018.94.6.337
- Author:
Sunhye LEE
1
;
Yon Seon KIM
;
Jeong Hyeon LEE
;
Sung Ho HWANG
;
Yu Hwan OH
;
Byung Kyun KO
;
Soo Youn HAM
Author Information
1. Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Thyroid neoplasms;
Surgery;
X-ray computed tomography
- MeSH:
Aged*;
Drug Therapy;
Follow-Up Studies;
Humans;
Neck;
Radiography;
Radiotherapy;
Recurrence;
Thorax;
Thyroid Gland*;
Thyroid Neoplasms;
Tomography, X-Ray Computed
- From:Annals of Surgical Treatment and Research
2018;94(6):337-341
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
