갑상선에서 발생한 편평상피세포-유두상 동시 암종 1예
A Case of Synchronous Squamous Cell and Papillary Carcinoma of the Thyroid Gland
0
조회
0
다운로드
2
인용
0
참고문헌
초록
The simultaneous occurrence of two distinct neoplasms derived from different cells of origin is sometimes recognized. In the thyroid gland, two such distinct tumors could consist of a concurrent squamous cell carcinoma and well-differentiated carcinoma showing follicular epithelial cell differentiation. Because the squamous cell carcinoma is characterized by rapidly progressive clinical course in spite of its differentiated morphologic feature, the tumor should be treated more vigorously at its initial stage. We report a rare, interesting case of concurrent squamous cell and papillary carcinoma of the thyroid gland. A 69-year-old male underwent a total thyroidectomy, central neck dissection and bilaterally modified radical neck dissection, which was diagnosed as papillary carcinoma by ultrasonography-guided aspiration cytology. The pathological report of the surgical specimen of the thyroid gland revealed synchronous squamous cell carcinoma and papillary carcinoma. He received local radiotherapy but died of pneumonia eight months after surgery. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1065-7)
Abstract
The simultaneous occurrence of two distinct neoplasms derived from different cells of origin is sometimes recognized. In the thyroid gland, two such distinct tumors could consist of a concurrent squamous cell carcinoma and well-differentiated carcinoma showing follicular epithelial cell differentiation. Because the squamous cell carcinoma is characterized by rapidly progressive clinical course in spite of its differentiated morphologic feature, the tumor should be treated more vigorously at its initial stage. We report a rare, interesting case of concurrent squamous cell and papillary carcinoma of the thyroid gland. A 69-year-old male underwent a total thyroidectomy, central neck dissection and bilaterally modified radical neck dissection, which was diagnosed as papillary carcinoma by ultrasonography-guided aspiration cytology. The pathological report of the surgical specimen of the thyroid gland revealed synchronous squamous cell carcinoma and papillary carcinoma. He received local radiotherapy but died of pneumonia eight months after surgery. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1065-7)
참고문헌 (14)
- Goldman RL, "Primary squamous cell carcinoma of the thyroid gland: Report of a case and review of the literature", Am Surg, 30, pp.247~252 (1964)
- "Case record of the massachusetts general hospital 1926-1975", N Engl J Med, pp.186~193 (1975)
- Shimaoka K, "Squamous cell carcinoma and adenosquamous carcinoma originating from the thyroid gland", Cancer, 46(8), pp.1833~1842 (1980)
- Li Volsi VA, "Squamous cell in the human thyroid gland", Am J Surg Pathol, 2(2), pp.133~140 (1978)
- Sugiyama S, "The embryology of the human thyroid gland including ultimobranchial body and others related", Ergeb Anat Entwicklungsgesch, 44(2), pp.3~111 (1971)
- Burman KD, "Unusual types of thyroid neoplasm", Endocrinol Metab Clin North Am, 25(1), pp.49~68 (1996)
- Saito K, "Primary squamous cell carcinoma of the thyroid associated with marked leukocytosis and hypercalcemia", Cancer, 48(9), pp.2080~2083 (1981)
- Akbari Y, "Thyroid carcinoma arising in the thyroglossal duct remnants; Report of a case and review of the literature", Arch Surg, 94(2), pp.235~239 (1967)
- Mobini J, "Squamous carcinoma arising in a thyroglossal duct cyst", Am J Surg, 40(5), pp.290~294 (1974)
- Harada T, "Squamous cell carcinoma of the thyroid gland-transition from adenocarcinoma", J Surg Oncol, 19(1), pp.36~43 (1982)
- Huang TY, "Primary squamous cell carcinoma of thyroid gland: A report of four cases", Am J Clin Pathol, 55(1), pp.93~98 (1971)
- Prakash A, "Primary squamous carcinoma of the thyroid gland", Int Surg, 50(6), pp.538~541 (1968)
- Dube VE, "Extrene squamous metaplasia in Hashimoto’s thyroiditis", Cancer, 27(2), pp.434~437 (1971)
- Kim JK, "Primary squamous cell carcinoma of the thyroid", Korean J Head and Neck Oncology, 10, pp.225~228 (1994)