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甲状腺原发性鳞状细胞癌对根治性放疗及顺铂同步化疗完全缓解。

Primary squamous cell carcinoma of the thyroid with complete response to radical radiotherapy and concurrent cisplatin-based chemotherapy.

作者信息

Del Rosario Michael, Dasanu Constantin, Tsai Henry, Johnson Robert

机构信息

Eisenhower Medical Center, Rancho Mirage, California, USA.

出版信息

BMJ Case Rep. 2017 Jan 18;2017:bcr2016217143. doi: 10.1136/bcr-2016-217143.

Abstract

Chemoradiotherapy and/or surgery are both potentially radical treatments for squamous cell carcinomas. Squamous cell carcinomas are considered chemosensitive tumours compared to adenocarcinomas or anaplastic thyroid malignancies. A 76-year-old man was found to have T4bN0M0 primary squamous cell carcinoma of the thyroid with encasement of the internal carotid artery. The disease was deemed unresectable. Therefore, he was treated with radical radiotherapy with concurrent cisplatin-based chemotherapy. We discuss herein the aetiology, diagnosis and management of primary squamous cell carcinoma of the thyroid. We demonstrate success of chemoradiotherapy in an unresectable case of a rare and aggressive disease.

摘要

化疗放疗和/或手术都是鳞状细胞癌潜在的根治性治疗方法。与腺癌或间变性甲状腺恶性肿瘤相比,鳞状细胞癌被认为是化疗敏感肿瘤。一名76岁男性被发现患有甲状腺原发性鳞状细胞癌,T4bN0M0,颈内动脉被包裹。该疾病被认为无法切除。因此,他接受了以顺铂为基础的同步化疗的根治性放疗。我们在此讨论甲状腺原发性鳞状细胞癌的病因学、诊断和管理。我们证明了在一例罕见且侵袭性疾病的不可切除病例中化疗放疗的成功。

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