Primary Squamous Cell Carcinoma of Thyroid

Burkan Nasr, A. Al-tamimi, M. Issa, A. Amri, Yasser A Obadiel, M. Qubati, Anwar Al_junaeed, M. Al-Shehari, Saeed Al Bahlooli
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Abstract

Background: Primary squamous cell carcinoma (PSCC) is a rare thyroid cancer that is difficult to diagnose and differentiate before pathology changes observed, poor prognosis, aggressive malignancy associated with locally advanced disease and frequent metastases to regional lymph nodes and distant sites. Case Presentation: A 76-year-old female patient complained about a rapidly growing anterior neck mass and a change in her voice. Based on the patient's symptoms, clinical examination, neck and thyroid ultrasound with fine needle aspiration cytology, the patient was initially diagnosed with suspicious thyroid nodule thereafter, total thyroidectomy with left neck node dissection. However, her J Cancer Sci Clin Ther 2022; 6 (1): 16-24 DOI: 10.26502/jcsct.5079142 Journal of Cancer Science and Clinical Therapeutics 17 disease was finally diagnosed according to the histopathology result as Primary squamous cell cancer (PSCC). Conclusion: Primary squamous cell cancer (PSCC) of thyroid are poor prognosis when associated with locally tissue infiltration and infected necrosis, the proper history, good neck and thyroid examination support by neck sonography help full to diagnosis the thyroid malignancy in general, the best treatment for Primary squamous cell cancer (PSCC) was total thyroidectomy with or without lymph node dissection followed by radiochemotherapy.
原发性甲状腺鳞状细胞癌
背景:原发性鳞状细胞癌(Primary squamous cell carcinoma, PSCC)是一种罕见的甲状腺癌,在观察到病理改变前难以诊断和鉴别,预后差,恶性侵袭性强,伴有局部晚期病变,常转移到区域淋巴结和远处。病例介绍:一名76岁女性患者,主诉颈部前肿块快速增大,声音改变。根据患者的症状、临床检查、颈部及甲状腺超声细针穿刺细胞学检查,初步诊断为可疑甲状腺结节,行甲状腺全切除术合并左颈部淋巴结清扫。然而,她的J癌症科学临床医生2022;6 (1): 16-24 DOI: 10.26502/jcsct.5079142根据组织病理学结果最终诊断为原发性鳞状细胞癌(Primary squamous cell Cancer, PSCC)。结论:甲状腺原发性鳞状细胞癌(PSCC)伴有局部组织浸润和感染坏死时预后较差,正确的病史、良好的颈部和甲状腺检查在颈部超声检查的支持下有助于全面诊断甲状腺恶性肿瘤,原发性鳞状细胞癌(PSCC)的最佳治疗方法是甲状腺全切除术伴或不伴淋巴结清扫,放化疗。
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