Case Report
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Beklenmedik bir klinik görüntü ile ortaya çıkan tiroid bezi primer skuamöz hücreli karsinomu

Year 2019, Volume 58, Issue 2, 187 - 189, 28.06.2019
https://doi.org/10.19161/etd.416023

Abstract

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.

References

  • Zhou XH. Primary squamous cell carcinoma of the thyroid. Eur J Surg Oncol 2002;28(1):42-5.
  • Jones JM, McCluggage WG, Russell CF. Primary squamous carcinoma of the thyroid. Ulster Med J 2000;69(1):58-60.
  • Soon SR, Kanagalingam J, Johari S, Yuen HW. Head and neck cancers masquerading as deep neck abscesses. Singapore Med J 2012;53(12):840-2.
  • Lin YY, Hsu CH, Lee JC, et al. Head and neck cancers manifested as deep neck infection. Eur Arch Otorhinolaryngol 2012;269(2):585-90.
  • Wang LF, Kuo WR, Tsai SM, Huang KJ. Characterizations of life-threatening deep cervical space infections: A review of one hundred ninety-six cases. Am J Otolaryngol 2003;24(2):111-7.
  • Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum and management of deep neck space infections: an 8-year experience of 234 cases. Otolaryngol Head Neck Surg 2005;133(5):709-14.
  • Batchelor NK. Primary squamous cell carcinoma of the thyroid: An unusual presentation. J Bronchology Interv Pulmonol 2011;18(2):168-70.

An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland

Year 2019, Volume 58, Issue 2, 187 - 189, 28.06.2019
https://doi.org/10.19161/etd.416023

Abstract

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.

References

  • Zhou XH. Primary squamous cell carcinoma of the thyroid. Eur J Surg Oncol 2002;28(1):42-5.
  • Jones JM, McCluggage WG, Russell CF. Primary squamous carcinoma of the thyroid. Ulster Med J 2000;69(1):58-60.
  • Soon SR, Kanagalingam J, Johari S, Yuen HW. Head and neck cancers masquerading as deep neck abscesses. Singapore Med J 2012;53(12):840-2.
  • Lin YY, Hsu CH, Lee JC, et al. Head and neck cancers manifested as deep neck infection. Eur Arch Otorhinolaryngol 2012;269(2):585-90.
  • Wang LF, Kuo WR, Tsai SM, Huang KJ. Characterizations of life-threatening deep cervical space infections: A review of one hundred ninety-six cases. Am J Otolaryngol 2003;24(2):111-7.
  • Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum and management of deep neck space infections: an 8-year experience of 234 cases. Otolaryngol Head Neck Surg 2005;133(5):709-14.
  • Batchelor NK. Primary squamous cell carcinoma of the thyroid: An unusual presentation. J Bronchology Interv Pulmonol 2011;18(2):168-70.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Korhan KILIÇ (Primary Author)
Atatürk University Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Erzurum
0000-0001-6048-034X
Türkiye


Muhammed Sedat SAKAT This is me
Atatürk University Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Erzurum
0000-0001-9588-1725
Türkiye


Harun ÜÇÜNCÜ This is me
Atatürk University Faculty of Medicine, Department of Otorhinolaryngology Head and Neck Surgery, Erzurum
0000-0001-6003-4219
Türkiye

Publication Date June 28, 2019
Application Date January 5, 2018
Acceptance Date March 5, 2018
Published in Issue Year 2019, Volume 58, Issue 2

Cite

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. S. & 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. S. , 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/pub/issue/44438/416023>
Chicago Kılıç, K. , Sakat, M. S. , 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 Journal of Medicine 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. S. , Üçüncü H. An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland. EJM. 2019; 58(2): 187-189.
Vancouver Kılıç K. , Sakat M. S. , Üçüncü H. An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland. Ege Tıp Dergisi. 2019; 58(2): 187-189.
IEEE K. Kılıç , M. S. Sakat and H. Üçüncü , "An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland", Ege Tıp Dergisi, vol. 58, no. 2, pp. 187-189, Jun. 2019, doi:10.19161/etd.416023