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 journalArticle

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 languageEnglish
Pages (from-to)337-341
Number of pages5
JournalAnnals of Surgical Treatment and Research
Volume94
Issue number6
DOIs
Publication statusPublished - 2018 Jun 1

Keywords

  • Surgery
  • Thyroid neoplasms
  • X-ray computed tomography

ASJC Scopus subject areas

  • Surgery

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