Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man

Sunhye Lee; Yon Seon Kim; Jeong Hyeon Lee; Sung Ho Hwang; Yu Hwan Oh; Byung Kyun Ko; Soo Youn Ham

doi:10.4174/astr.2018.94.6.337

Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man

Sunhye Lee, Yon Seon Kim, Jeong Hyeon Lee, Sung Ho Hwang, Yu Hwan Oh, Byung Kyun Ko, Soo Youn Ham

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

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.

Original language	English
Pages (from-to)	337-341
Number of pages	5
Journal	Annals of Surgical Treatment and Research
Volume	94
Issue number	6
DOIs	https://doi.org/10.4174/astr.2018.94.6.337
Publication status	Published - 2018 Jun

Bibliographical note

Publisher Copyright:
© 2018, the Korean Surgical Society.

Keywords

Surgery
Thyroid neoplasms
X-ray computed tomography

ASJC Scopus subject areas

Surgery

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10.4174/astr.2018.94.6.337

Cite this

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title = "Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man",

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.",

keywords = "Surgery, Thyroid neoplasms, X-ray computed tomography",

author = "Sunhye Lee and Kim, {Yon Seon} and Lee, {Jeong Hyeon} and Hwang, {Sung Ho} and Oh, {Yu Hwan} and Ko, {Byung Kyun} and Ham, {Soo Youn}",

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year = "2018",

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doi = "10.4174/astr.2018.94.6.337",

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AU - Lee, Sunhye

AU - Kim, Yon Seon

AU - Lee, Jeong Hyeon

AU - Hwang, Sung Ho

AU - Oh, Yu Hwan

AU - Ko, Byung Kyun

AU - Ham, Soo Youn

PY - 2018/6

Y1 - 2018/6

N2 - 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.

AB - 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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KW - Thyroid neoplasms

KW - X-ray computed tomography

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Spindle epithelial tumor with thymus-like differentiation of the thyroid in a 70-year-old man

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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