A Case of Thyroid Medullary Carcinoma with Endobronchial Metastasis

Cho, Hyeon Myeong; Kim, Se Kyu; Cheon, Seon Hee; Chang, Joon; Roh, Jae Kyung; Kim, Sung Kyu; Lee, Won Young; Sung, Sun Hee; Lee, You Bock

doi:1990.37.4.434

Tuberc Respir Dis > Volume 37(4); 1990 > Article

Case report

Tuberculosis and Respiratory Diseases 1990;37(4):434-439.
DOI: https://doi.org/10.4046/trd.1990.37.4.434 Published online December 1, 1990.

A Case of Thyroid Medullary Carcinoma with Endobronchial Metastasis

Hyeon Myeong Cho¹, Se Kyu Kim¹, Seon Hee Cheon¹, Joon Chang¹, Jae Kyung Roh¹, Sung Kyu Kim¹, Won Young Lee¹, Sun Hee Sung², You Bock Lee²

¹Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
²Department of Pathology, Yonsei University College of Medicine, Seoul, Korea

기관지내 전이를 동반한 갑상선 수양암 1예

조현명¹, 김세규¹, 천선희¹, 장준¹, 노재경¹, 김성규¹, 이원영¹, 성순희², 이유복²

Abstract

The lung is an extremely common site for metastasis from extrathoracic tumors. But intraluminal bronchial metastasis, especially from the thyroid medullary carcinoma is unusual lesions. A 41-year-old male patient complained of dry cough for 5 month. The patient had underwent total thyroidectomy with the right modified radical neck dissection because of thyroid medullary carcinoma 14 months ago. The chest X-ray showed both hilar prominancy. The chest computerized tomographic scan revealed endobronchial lesion in the right main bronchus and the left upper lobe bronchus with multiple lymphadenopathies in the subcarina and the left hilum. The bronchoscopy disclosed polypoid mass and multiple small nodules on the bronchial wall. We confirmed endobronchial metastasis from the thyroid medullary carcinoma by bronchoscopic biopsy.