초음파상 갑상선 결절로 보인 Killian-Jamieson 게실: 두 환자에서의 방사선학적 소견 = Killian-Jamieson Diverticula Mimicking Thyroid Nodule on Ultrasound: Radiographic Findings in Two Patients

다국어 초록 (Multilingual Abstract)

Killian-Jamieson diverticula are lateral diverticula in the cervical esophagus. Because of their location, they have been found incidentally during ultrasound (US) and they've sometimes been mistakenly identified for thyroid nodules. We describe here the US findings, the fine needle aspiration (FNA) procedure and the esophagography of a Killian-Jamieson diverticulum in a 70-year-old man. This diverticulum was considered to be a calcified thyroid nodule until we performed FNA. We will discuss the sonographic findings that are helpful for differentiating Killian-Jamieson diverticula from thyroid nodules. In addition, we describe the US findings of a small Killian-Jamieson diverticulum in a 34-year-old woman.

국문 초록 (Abstract)

Killian-Jamieson 게실은 경부 식도의 외측으로 생기는 게실이며, 위치로 인해 초음파 검사시 우연히 갑상선 결절로 오인되어 발견될 수 있다. 저자들은 세침흡인검사 시행 전에는 석회화된 갑상선 결절로 오진되었던 70세 남자환자에서의 Killian-Jamieson 게실에 대한 초음파, 세침흡인검사, 식도조영술 소견을 소개하고 갑상선 결절과의 구분에 도움이 될만한 초음파 소견을 알아보고자 한다. 또한, 34세 여자 환자에서의 작은 크기의 Killian-Jamieson 게실의 초음파 소견도 소개하고자 한다.

참고문헌 (Reference)

1 Kumar A, "diverticulum mimicking thyroid nodule on ultrasonography re-port of two cases" 319-322, 1994

2 Komatsu M, "Ultrasonography of Zenkers di-verticulum:special reference to differential diagnosis from thyroidnodules" 11 : 123-125, 2000

3 DeFriend DE, "Sonographic demonstration of apharyngoesophageal diverticulum" 28 : 485-487, 2000

4 Mercer D, "Real-timesonography of Killian-Jamieson diverticulum and its differentia-tion from thyroid nodules" 24 : 557-560, 2005

5 Rubesin SE, "Killian-Jamieson diverticula:radiographicfindings in 16 patients" 177 : 85-89, 2001

6 Kim J, "Incidentally found pharyngoe-sophageal diverticulum on ultrasonography" 43 : 271-273, 2002