Journal Detail Information

1

Cite

Share

Axillary Lymph Node Metastasis of Papillary Thyroid Carcinoma: A Case Report.

Journal of Korean Thyroid Association.2014;7(2):194-200. doi:10.11106/cet.2014.7.2.194

We report a case of axillary lymph node metastasis (LNM) as a recurrence of papillary thyroid carcinoma (PTC) in a 68-year-old male. The patient initially presented in 2009 with a 3.4x5.4 cm sized neck swelling and left cervical lymphadenopathy. He underwent total thyroidectomy and central compartment neck dissection (CCND) with left modified radical neck dissection (MRND). The pathological report confirmed PTC with metastasis of neck lymph node. On a regular follow up of positron emission tomography (PET), LNM was found on the right supraclavicular area and on the left axillary area. It was 17 months after the initial thyroid cancer had been diagnosed. The right MRND and left axillary lymph node dissections were performed in April of 2012. Pathological result confirmed metastatic PTC of left axillary lymph nodes. After recovery from the surgery, the patient got radioactive iodine therapy with I-131 180 mCi.
Aged ; Follow-Up Studies ; Humans ; Iodine ; Lymph Node Excision ; Lymph Nodes* ; Lymphatic Diseases ; Male ; Neck ; Neck Dissection ; Neoplasm Metastasis* ; Positron-Emission Tomography ; Recurrence ; Thyroid Neoplasms* ; Thyroidectomy

2

Cite

Share

Primary Thyroid Lymphoma Associated with Dyspnea in an Old Age Patient: A Case Report.

Dae Jin SAH ; Joon Yeon HWANG ; Choon Dong KIM

Journal of Korean Thyroid Association.2014;7(2):190-193. doi:10.11106/cet.2014.7.2.190

Primary thyroid lymphoma is a rare tumor which patients usually present an enlarging neck mass, often causing local obstructive symptoms. Hypothyroidism is seen in 30-40% of the patients with primary thyroid lymphoma. We report a 77-year-old man with history of hypothyroidism, presenting enlarging anterior neck mass which pathologically confirmed as thyroid lymphoma with literature review.
Aged ; Dyspnea* ; Humans ; Hypothyroidism ; Lymphoma* ; Neck ; Thyroid Gland*

3

Cite

Share

A Case of Severe Thyrotoxicosis Caused by Graves' Disease Presenting with Myasthenic Crisis.

Sun Hee KIM ; Tae Sun PARK ; Hong Sun BAEK ; Heung Yong JIN

Journal of Korean Thyroid Association.2014;7(2):185-189. doi:10.11106/cet.2014.7.2.185

Thyrotoxicosis due to autoimmune thyroid disease occurs in approximately 5% to 10% of patients with myasthenia gravis (MG), whereas the incidence of MG in patients with Graves' disease is much less at approximately 0.2%. Recently, we experienced a 40-year-old male patient diagnosed with thyroid storm with severe respiratory failure and lower extremity weakness. At first, he was diagnosed with Graves' disease and critical illness neuropathy. His thyroid function was improved by anti-thyroid drug, but his neurologic function aggravated at the same time. He accordingly diagnosed with myasthenia gravis. We studied that when we should examine the neurologic function from this case. Our case highlights the importance of investigating muscle weakness or other neurologic problems in the thyrotoxic patient during their management.
Adult ; Critical Illness ; Graves Disease* ; Humans ; Incidence ; Lower Extremity ; Male ; Muscle Weakness ; Myasthenia Gravis ; Respiratory Insufficiency ; Thyroid Crisis ; Thyroid Diseases ; Thyroid Gland ; Thyrotoxicosis*

4

Cite

Share

Insulin Autoimmune Syndrome in a Patient with Hashimoto's Thyroiditis.

In Wook SONG ; Eugene HAN ; Nan Hee CHO ; Ho Chan CHO

Journal of Korean Thyroid Association.2014;7(2):180-184. doi:10.11106/cet.2014.7.2.180

Insulin autoimmune syndrome (IAS) is characterized by fasting hypoglycemia, endogenous hyperinsulinemia, and the presence of autoantibodies to insulin or insulin receptor in patients that have never been exposed to exogenous insulin. This syndrome is occasionally accompanied by several autoimmune disorders. There is no reported case of concurrent IAS with Hashimoto's thyroiditis. A 52-year-old female was diagnosed with Hashimoto's thyroiditis and was treated with 25 microg/d levothyroxine for 3 years. Recently, she experienced recurrent fasting hypoglycemic symptoms that disappeared rapidly with a carbohydrate-rich diet, although she had no history of diabetes or insulin use. Blood analysis showed hypoglycemia and elevated serum levels of insulin and C-peptide. Imaging studies did not reveal a mass lesion in the pancreas, and selective calcium-stimulated venous sampling also gave a negative result. However, anti-insulin antibody titer was high and assay for anti-insulin receptor antibody was positive. Here, we report a case of IAS concomitant with Hashimoto's thyroiditis.
Autoantibodies ; C-Peptide ; Diet ; Fasting ; Female ; Humans ; Hyperinsulinism ; Hypoglycemia ; Insulin* ; Middle Aged ; Pancreas ; Receptor, Insulin ; Thyroid Gland* ; Thyroiditis* ; Thyroxine

5

Cite

Share

Giant Thyroid Cancer in Elderly Patient.

Min Woo PARK ; Kwang Yoon JUNG ; Seung Kuk BAEK

Journal of Korean Thyroid Association.2013;6(1):85-87. doi:10.11106/jkta.2013.6.1.85

Age may be one of the important factors which influence the decision for treatment of thyroid cancer in elderly patients. In addition, although thyroid surgery is generally considered as the procedure with low morbidity, a variety of complications can occur with serious consequences in patients with huge thyroid cancer. We report a case of giant thyroid cancer in elderly patient.
Aged ; Humans ; Thyroid Gland ; Thyroid Neoplasms ; Thyroidectomy

6

Cite

Share

A Case of Concurrent Papillary and Medullary Thyroid Carcinomas Detected as Recurrent Medullary Carcinoma after Initial Surgery for Papillary Carcinoma.

Dongbin AHN ; Jin Ho SOHN ; Ji Young PARK

Journal of Korean Thyroid Association.2013;6(1):80-84. doi:10.11106/jkta.2013.6.1.80

As the prevalence of thyroid carcinoma is rapidly increasing, coexisting subtypes of thyroid carcinomas are often found. However, concurrent papillary and medullary carcinomas in the thyroid gland are extremely rare. We report the case of a 50-year-old man with co-occurrence of multiple papillary and medullary thyroid carcinomas; the latter were undetected at initial diagnosis. Sixty-three months after the initial operation performed because of papillary carcinoma diagnosis, a metastatic lymph node was detected in the left level IV region, which was revealed as medullary carcinoma. The histopathologic results from initial surgery were reviewed, and we found multiple coexisting medullary carcinomas that were not identified initially. The incidence of concurrent papillary and medullary thyroid carcinomas will continue to increase as rates of diagnosis of and surgery for thyroid carcinoma increase. Therefore, surgeons and pathologists should be aware of the possible coexistence of subtypes of thyroid carcinomas to avoid missing concurrent lesions.
Carcinoma, Medullary ; Carcinoma, Papillary ; Incidence ; Lymph Nodes ; Prevalence ; Thyroid Gland ; Thyroid Neoplasms

7

Cite

Share

Two Cases of Postpartum Thyroiditis Followed by Graves' Disease.

Ji Hoon YANG ; Eun Jin HAN ; Chang Hoon YIM

Journal of Korean Thyroid Association.2013;6(1):75-79. doi:10.11106/jkta.2013.6.1.75

The most common thyroid dysfunctions that occur after delivery are postpartum thyroiditis (PPT) and Graves' disease (GD). PPT is more likely to occur among patients who had a history of PPT or GD. For that reason, it is possible to assume that both PPT and GD occur concomitantly after delivery. Here we report two cases of atypical postpartum thyroid dysfunctions presenting the simultaneous occurrence of PPT and GD. A 31-year-old woman with history of PPT had thyrotoxicosis and hypothyroidism of PPT followed by GD with mild symptoms. The patient recovered quickly afterwards. In the second case, a 28-year-old woman with a history of GD presented with thyrotoxicosis of PPT followed by severe GD. The patient required long-term antithyroid treatment.
Female ; Graves Disease ; Humans ; Hypothyroidism ; Postpartum Period ; Postpartum Thyroiditis ; Thyroid Gland ; Thyrotoxicosis

8

Cite

Share

A Case of Severe Recurrent Painless Thyroiditis Requiring Thyroidectomy.

So Hyun PARK ; Il Seong NAM-GOONG ; Young Il KIM ; Yun Sun KIM ; Yung Min KIM ; Eun Sook KIM

Journal of Korean Thyroid Association.2015;8(1):113-116. doi:10.11106/cet.2015.8.1.113

The course of painless thyroiditis is usually transient with a thyrotoxicosis phase that lasts for 2 months before recovery. Therefore, no treatment is required. This case is unusual because of the recurrence and severity of thyrotoxicosis, which required surgery of the thyroid gland to prevent a thyrotoxic crisis. A 43-year-old female who presented with severe thyrotoxicosis was found to have low radioactive iodine uptake, negative test results for TSH receptor antibodies, normal erythrocyte sedimentation rate and diffuse goiter without pain or tenderness; these findings suggested a diagnosis of painless thyroiditis. She was treated for relapsed painless thyroiditis for 10 years. However, in May 2014, she developed recurrent painless thyroiditis with severe thyrotoxicosis; free T4 41.5 ng/dL, TSH <0.005 mlU/mL. Owing to the severity and recurrence of thyrotoxicosis, total thyroidectomy was performed to prevent a thyrotoxic storm.
Adult ; Antibodies ; Blood Sedimentation ; Diagnosis ; Female ; Goiter ; Humans ; Iodine ; Receptors, Thyrotropin ; Recurrence ; Thyroid Crisis ; Thyroid Diseases ; Thyroid Gland* ; Thyroidectomy* ; Thyroiditis* ; Thyrotoxicosis

9

Cite

Share

Two Cases of Hungry Bone Syndrome after Huge Parathyroidectomy.

Hyeongjoo LEE ; Jinpyeong KIM ; Jungje PARK ; Seunghoon WOO

Journal of Korean Thyroid Association.2015;8(1):108-112. doi:10.11106/cet.2015.8.1.108

Hungry bone syndrome can occur after parathyroidectomy which is performed due to primary hyperparathyroidism. Hungry bone syndrome is characterized by showing postoperative hypocalcemia which is caused by the remineralization of various minerals, including calcium inside the bone. This syndrome requires a long term supplementation of calcium. Identifying the preoperative predictors of hypocalcemia is essential and important for postoperative management. From here on in, we report two cases of patients with parathyroid adenoma who have undergone parathyroidectomy. We would like to report and discuss the management of hungry bone syndrome experienced from the two cases that have been mentioned above. We report these two cases with a review of the literature.
Calcium ; Humans ; Hyperparathyroidism, Primary ; Hypocalcemia ; Minerals ; Parathyroid Hormone ; Parathyroid Neoplasms ; Parathyroidectomy*

10

Cite

Share

Poorly Differentiated Thyroid Carcinoma with Gross Internal Jugular Vein Invasion and Multiple Lung Metastases.

Yong Moon LEE ; Jae Hyun PARK ; Junjeong CHOI ; Keum Seok BAE ; Seong Joon KANG

Journal of Korean Thyroid Association.2015;8(1):103-107. doi:10.11106/cet.2015.8.1.103

A rare case of poorly differentiated thyroid carcinoma (PDTC) with gross intraluminal invasion to the internal jugular vein whose clinical manifestation was multiple lung metastases is described. A 66-year-old man was referred to the outpatient clinic of the Department of Internal Medicine, hemato-oncology subdivision for multiple lung nodules found by his regular health check-up. These lung nodules showed variable sizes with irregular shapes, and typical distributions throughout the parenchyma, which were consistent with metastatic nodules. Ultrasonography revealed a 4.5 cm sized hypoechoic mass with irregular shape in his left thyroid lobe and a huge thrombus in the left internal jugular vein. PDTCs associated with gross intraluminal invasion to the great cervical vein and multiple lung nodules as their first clinical manifestation are extremely rare. We would emphasize the importance of preoperative detailed evaluation of the disseminated disease by ultrasonography in suspected patients.
Aged ; Ambulatory Care Facilities ; Humans ; Internal Medicine ; Jugular Veins* ; Lung* ; Neoplasm Metastasis* ; Thrombosis ; Thyroid Gland ; Thyroid Neoplasms* ; Ultrasonography ; Veins

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share