Hürthe Cell Tumor of the Thyroid Gland

Korean Journal of Head & Neck Oncology 1992;8(2):106-116.
Published online November 30, 1992.

Seung Sang Moon;Seong Joon Kang;Soo Yong Kim

갑상선의 Hürthle Cell Tumor

문승상;강성준;김수용

Abstract

Ten patients with Hurthle cell tumor of the thyroid gland from Dec. 1987 to Sep. 1992 were reviewed to delinate an acceptable policy of treatment. Patients varied from age 23 years to 66 and consisted of nine females and one male, most of whom had an asymptomatic solitary cold nodule. Four patients had benign neoplasm and six patients had malignant neoplasm proven by capsular or vascular invasion or nodal metastasis. Associated thyroid lesions occurred in five patients, three adenomatous goiter. one Graves' disease and one follicular cell carcinoma. Surgery consisting of lobectomy and isthmectomy in four patients. bilateral subtotal thyroidectomy in one patients, total thyroidectomy in five patients. Lymph node dissection was not performed. Only one patient was experienced transient hypocalcemia. The period of observation varied from 15 to 58 months(mean, 30.5 months). Although our case was small and short follow up period, there were no recurrences or deaths. We suggested early aggressive surgical approach was appropriate because of lower recurrence rate and fewer operation' high bilateralism, lower surgical complication.

Key Words: Hürthle cell tumor