[Solitary @entity75 from XXXX of the thyroid].

@entity1 @entity455 @entity146 @entity5 @entity75 @entity189 @entity2287 @entity3 @entity1758 @entity10 @entity259
A 55-year-old @entity1 first underwent total thyroidectomy in 1973, and the histopathology was @entity259 . There was no familial history of endocrine @entity5 . She remained asymptomatic for the next 19 years. Neck and tracheal recurrence was treated with tracheal stent and radiation, in 1997. On July 1998, she presented with @entity10 . Magnetic resonance imaging revealed a @entity2287 enhanced mass in the left inferior temporal gyrus. Angiogram revealed a marked @entity5 stain feeding from the middle and inferior temporal artery. The @entity5 was successfully excised via a temporal craniotomy. Histopathological sections of the resected specimen confirmed the diagnosis, it demonstrated the medullary pattern that was composed of @entity455 and clumps of cells. Immunocytochemistry, using carcino-embryonic antigen and calcitonin showed a strongly positive reaction, and @entity1758 was 5.4%. The @entity1 subsequently underwent a course of whole brain radiotherapy, a total of 30 Gy/10 fr. She remains asymptomatic 14 months after treatment. @entity75 from @entity189 of the thyroid is extremely rare and it does not usually occur distant spread. @entity259 with @entity75 tends to be identified in @entity1 with older age, larger @entity5 , more frequent evidence of @entity3 , and more @entity146 histologies. The number of @entity259 with @entity75 is small and there has been little evidence from benefit of therapy. Neither is it clear wether radiation therapy is beneficial also is not clear. In this case, surgical resection and radiation therapy was effective against recurrence of other lesion.
