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

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...

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Bibliographic Details
Published inAnnals of surgical treatment and research Vol. 94; no. 6; pp. 337 - 341
Main Authors Lee, Sunhye, Kim, Yon Seon, Lee, Jeong Hyeon, Hwang, Sung Ho, Oh, Yu-Hwan, Ko, Byung Kyun, Ham, Soo-Youn
Format Journal Article
LanguageEnglish
Published Korea (South) 대한외과학회 01.06.2018
The Korean Surgical Society
Subjects
Case Report
일반외과학
Thyroid neoplasms
X-ray computed tomography
Surgery
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Summary: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.
ISSN:2288-6575
2288-6796
DOI:10.4174/astr.2018.94.6.337