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32, 21-25, 2012 CASLE 1 1 80 26 6 5 4 cm 1 2 CEA 3 4 CEA 2 44 22 2 3 1.5 cm

22 1. 1 ; 6 5 4 cm 4. ; 2. ; 3. ; 5. 2 ; 120 ng/ml 0-40 5 Mφ 6 7, 8 9

23 6. ; 9. ; 7. ; 10. ; 8. 7 10 CK3 CK3

24 1,2 3 2 8% 4,5 0.2% 6 7 2 2 1 2 8 10 2 2 3 1 PAS MUC1 MUC2 MUC5AC MUC6 CD10 2 3 11 13 14 15 17 1 18 2 1. Ultimobranchial body Thymic remnants Solid cell nests Parafollicular cells Teratoma Thyroglossal duct remnants Metaplasia of normal, inflamed, or neoplastic follicular cells

25 14 2 Muc1 2 1 Diaz - Perez R et al : Primary mucinous adenocarcinoma of the thyroid. Cancer 38 : 1323-1325, 1976 2 Mizukami Y et al : Mucin - producing poorly differentiated adenocarcinoma of the thyroid. A case report. Pathol Res Pract 186 : 608-612, 1993 3 : 2005 4 Shimaoka K et al : Metastatic neoplasms in the thyroid gland. Cancer 15 : 557-565, 1962 5 : 30 : 880-884, 1984 6 : Grawitz 2 39 : 373-377, 1978 7 : 45 : 468-477, 1994 8 : 1 35 : 516-522, 1989 9 : 1 42 : 769-774, 1996 10 Baloch ZW et al : Tumor - to - tumor metastasis to follicular variant of papillary carcinoma of thyroid. Arch Pathol Lab Med 123 : 703-706, 1996 11 Kasantikul V et al : Adenosquamous carcinoma of the thyroid : a case report and review of the literature. J Med Assoc Thai 78 : 197-203, 1995 12 : 1 54 : 439-444, 2003 13 Misonou J et al : Adenosquamous carcinoma originating from the thyroid gland report of a case and review of the literature. Gan No Rinsho 32 : 1985-1993, 1986 14 Minagawa A et al : A case of primary mucoepidermoid carcinoma of the thyroid : molecular evidence of its origin. Clin Endocrinol 57 : 551-556, 2002 15 Bakri K et al : Adenosquamous carcinoma of the thyroid after radiotherapy for Hodgkin s disease. A case report and review. Cancer 52 : 465-470, 1983 16 Mizukami Y et al : Primary mucin - producing adenosqua mous carcinoma of the thyroid gland. Acta Pathol Jpn 37 : 1157-1164, 1987 17 Nicolaides AR et al : Adenosquamous carcinoma of the thyroid gland. J Laryngol Otol 103 : 978-979, 1989 18 LiVolsi VA et al : Squamous cells in the human thyroid gland. Am J Surg Pathol 2 : 133-140, 1978