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原发性甲状腺鳞状细胞癌——五年随访的成功治疗

Primary squamous-cell thyroid carcinoma - a successful treatment with five-year follow-up.

作者信息

Wygoda Andrzej, Rutkowski Tomasz, Szcześniak-Kłusek Bogna, Mrochem-Kwarciak Jolanta, Jędrzejewska Maja, Składowski Krzysztof

机构信息

Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology Gliwice Branch.

出版信息

Endokrynol Pol. 2017;68(5):592-596. doi: 10.5603/EP.a2017.0048. Epub 2017 Sep 7.

DOI:10.5603/EP.a2017.0048
PMID:28879652
Abstract

Squamous cell carcinoma is an extremely rare neoplasm of the thyroid (SCTC) that represents no more than 1% of all primary thyroid malignancies. We report a case of a 42-year-old woman with rapidly growing mass in the right lower neck, primarily diagnosed in fineneedle aspiration cytology as a low-differentiated carcinoma. After the surgery, exclusion of all the other possible primary tumour locations, and immunohistochemistry tests, the diagnosis of primary squamous cell carcinoma of the thyroid gland was established. Because of close surgical margins and metastatic neck node, the patient was referred to adjuvant postoperative irradiation. With five-year follow-up the patient is free of disease and still in very good condition.

摘要

鳞状细胞癌是一种极其罕见的甲状腺肿瘤(SCTC),占所有原发性甲状腺恶性肿瘤的比例不超过1%。我们报告一例42岁女性病例,其右下颈部有快速生长的肿块,细针穿刺细胞学检查初步诊断为低分化癌。手术后,排除了所有其他可能的原发肿瘤部位,并进行了免疫组化检测,确诊为原发性甲状腺鳞状细胞癌。由于手术切缘接近且有颈部淋巴结转移,该患者接受了术后辅助放疗。经过五年随访,患者无疾病复发,身体状况仍然良好。

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