Year 2019, Volume 58 , Issue 2, Pages 187 - 189 2019-06-28

An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland
Beklenmedik bir klinik görüntü ile ortaya çıkan tiroid bezi primer skuamöz hücreli karsinomu

Korhan Kılıç [1] , Muhammed Sedat Sakat [2] , Harun Üçüncü [3]


Primary squamous cell carcinoma of the thyroid gland (PSCCT) is a rare disease which accounts less than 1% of all thyroid cancers. Patients usually present with enlarging neck mass. In this paper we presented a 76-year-old female patient with PSCCT whose initial finding was a cervical abscess. To our knowledge this is the first PSCCT case in the literature presenting as cervical abscess. The patient was referred to our clinic with dysphasia, shortness in breathing and hyperemic right neck mass, growing in size for 1 week. On physical examination a fluctuant and hyperemic mass was observed at the right cervical region. Magnetic resonance imaging of neck and upper thorax revealed a mass in the area of right thyroid gland, including cystic and necrotic component, progressing to the retrosternal area, surrounding right jugular vein and common carotid artery. An open biopsy was performed. The histopathological diagnosis was squamous cell carcinoma. Because of the extended invasion and infiltration of adjacent tissues, the patient was accepted as inoperable in oncologic council. PSCCT is a rare and aggressive neoplasm of the thyroid gland with poor prognosis. In a patient with deep neck spaces abscess, an underlying PSCCT should be kept in mind to avoid delays in the diagnosis and treatment.

Tiroid bezi primer yassı epitel hücreli karsinomu tüm tiroid kanserlerinin yaklaşık %1’ini oluşturan nadir bir hastalıktır. Hastalar genellikle büyüyen bir boyun kitlesi ile başvururlar. Bu makalede, ilk bulgusu boyunda apse olan ve tiroid bezinin primer skuamöz hücreli karsinomu tanısı alan 76 yaşında bir kadın hastayı sunduk. Hasta kliniğimize yutma güçlüğü, nefes almada zorluk, boyun sağ kısmında son 1 haftadır iyice büyüyen hiperemik kitle şikayetleri ile başvurdu. Fizik muayenede sağ boyun bölgesinde fluktuasyon gösteren, hiperemik kitle izlendi. Boyun ve üst toraks manyetik rezonans görüntülemesinde tiroid bezi sağ kısmında, kistik ve nekrotik alanlar içeren ve retrosternal uzanım gösteren, sağ juguler ven ve ana karotid arteri saran kitle izlendi. İnsizyonel biyopsi yapıldı. Histopatolojik tanı skuamöz hücreli karsinom olarak rapor edildi. Komşu dokulardaki ileri invazyon ve infiltrasyon nedeniyle onkoloji konseyi tarafından inoperabl kabul edildi. Tiroid bezi primer skuamöz hücreli karsinomu, kötü prognozlu, agresif seyirli ve nadir bir kanserdir. Derin boyun apsesi şikâyeti ile başvuran hastalarda, tanı ve tedavideki gecikmelerden kaçınmak için altta yatan bir tiroid skuamöz hücreli karsinomu bulunabileceği akılda tutulmalıdır.
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Orcid: 0000-0001-6048-034X
Author: Korhan Kılıç (Primary Author)
Institution: Atatürk University Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Erzurum
Country: Turkey


Orcid: 0000-0001-9588-1725
Author: Muhammed Sedat Sakat
Institution: Atatürk University Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Erzurum
Country: Turkey


Orcid: 0000-0001-6003-4219
Author: Harun Üçüncü
Institution: Atatürk University Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Erzurum
Country: Turkey


Dates

Publication Date : June 28, 2019

Bibtex @case report { etd416023, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2019}, volume = {58}, pages = {187 - 189}, doi = {10.19161/etd.416023}, title = {An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland}, key = {cite}, author = {Kılıç, Korhan and Sakat, Muhammed Sedat and Üçüncü, Harun} }
APA Kılıç, K , Sakat, M , Üçüncü, H . (2019). An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland. Ege Tıp Dergisi , 58 (2) , 187-189 . DOI: 10.19161/etd.416023
MLA Kılıç, K , Sakat, M , Üçüncü, H . "An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland". Ege Tıp Dergisi 58 (2019 ): 187-189 <http://egetipdergisi.com.tr/en/issue/44438/416023>
Chicago Kılıç, K , Sakat, M , Üçüncü, H . "An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland". Ege Tıp Dergisi 58 (2019 ): 187-189
RIS TY - JOUR T1 - An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland AU - Korhan Kılıç , Muhammed Sedat Sakat , Harun Üçüncü Y1 - 2019 PY - 2019 N1 - doi: 10.19161/etd.416023 DO - 10.19161/etd.416023 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 187 EP - 189 VL - 58 IS - 2 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.416023 UR - https://doi.org/10.19161/etd.416023 Y2 - 2018 ER -
EndNote %0 Ege Tıp Dergisi An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland %A Korhan Kılıç , Muhammed Sedat Sakat , Harun Üçüncü %T An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland %D 2019 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 58 %N 2 %R doi: 10.19161/etd.416023 %U 10.19161/etd.416023
ISNAD Kılıç, Korhan , Sakat, Muhammed Sedat , Üçüncü, Harun . "An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland". Ege Tıp Dergisi 58 / 2 (June 2019): 187-189 . https://doi.org/10.19161/etd.416023
AMA Kılıç K , Sakat M , Üçüncü H . An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland. Ege Tıp Dergisi. 2019; 58(2): 187-189.
Vancouver Kılıç K , Sakat M , Üçüncü H . An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland. Ege Tıp Dergisi. 2019; 58(2): 189-187.