Intrathyroidal metastasis of tonsillar squamous cell carcinoma masquerading as a primary thyroid tumor.

IF 1.7 Q3 PATHOLOGY
Jai-Hyang Go
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引用次数: 0

Abstract

Intrathyroidal metastasis of tonsillar squamous cell carcinoma is rare. To date, only six cases have been reported in the literature. This case was unusual and presented with thyromegaly before the diagnosis of the primary tumor. A 55-year-old male patient was suspected to have a primary thyroid tumor with nodal metastasis. The thyroid gland was diffusely enlarged, with no discernible mass. Histologically, the thyroid parenchyma revealed extensive endolymphatic tumor emboli, which were positive for p40 and p16 in a background of chronic lymphocytic thyroiditis. Positron emission tomography-computed tomography revealed hypermetabolic activity in the right tonsillar region. Tonsillar biopsy revealed human papillomavirus-positive squamous cell carcinoma. The present case is the first reported case of intrathyroidal metastasis of tonsillar squamous cell carcinoma with an initial clinical presentation of thyroid enlargement before the primary tumor of tonsillar cancer was diagnosed.

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伪装成原发性甲状腺肿瘤的扁桃体鳞状细胞癌的甲状腺内转移。
摘要扁桃体鳞状细胞癌甲状腺内转移是罕见的。迄今为止,文献中仅报道了6例。这个病例是不寻常的,在原发肿瘤诊断前表现为甲状腺肿大。一位55岁男性患者怀疑患有原发性甲状腺肿瘤伴淋巴结转移。甲状腺弥漫性肿大,未见肿块。组织学上,甲状腺实质显示广泛的内淋巴肿瘤栓子,p40和p16阳性,背景为慢性淋巴细胞性甲状腺炎。正电子发射断层扫描-计算机断层扫描显示右侧扁桃体区域高代谢活动。扁桃体活检显示人乳头瘤病毒阳性鳞状细胞癌。本病例是首次报道的扁桃体鳞状细胞癌甲状腺内转移的病例,在扁桃体癌原发肿瘤诊断之前,其最初的临床表现为甲状腺肿大。
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来源期刊
CiteScore
5.00
自引率
4.20%
发文量
45
审稿时长
14 weeks
期刊介绍: The Journal of Pathology and Translational Medicine is an open venue for the rapid publication of major achievements in various fields of pathology, cytopathology, and biomedical and translational research. The Journal aims to share new insights into the molecular and cellular mechanisms of human diseases and to report major advances in both experimental and clinical medicine, with a particular emphasis on translational research. The investigations of human cells and tissues using high-dimensional biology techniques such as genomics and proteomics will be given a high priority. Articles on stem cell biology are also welcome. The categories of manuscript include original articles, review and perspective articles, case studies, brief case reports, and letters to the editor.
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