A case of spindle cell carcinoma of the tongue metastasized to the thyroid gland

Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-11-01 DOI:10.1016/j.ajoms.2011.07.003

Toshiko Mandai , Kosei Ishida , Satoshi Ito , Hiroyo Deguchi , Tsuyoshi Hata , Isao Irei , Masaru Hosoda

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引用次数: 2

Abstract

Spindle cell carcinoma is a rare malignant tumour that shows biphasic proliferation of squamous cell carcinoma components and sarcomatoid components of spindle-shaped cells in the same tissue. In addition, cases that a malignant tumour of the head and neck region metastasizes to the thyroid gland are extremely rare. We report an extremely rare case that spindle cell carcinoma of the tongue metastasized to the thyroid gland. A 59-year-old female presented with a polypoid mass in the right margin of the tongue. Based on histopathological diagnosis of spindle cell carcinoma of clinical staging II, a partial glossectomy was performed. Thyroid mass appeared at 5 months after the surgery. She was diagnosis with thyroid gland cancer and a total thyroidectomy was performed. A histopathological diagnosis revealed thyroid gland metastasis. However, a thyroid tumour recurred in the neck at 4 months after the thyroid surgery. The tumour was untreatable, and the patient expired 13 months after the primary resection.

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舌梭形细胞癌转移至甲状腺1例

梭形细胞癌是一种罕见的恶性肿瘤，在同一组织中表现为鳞状细胞癌成分和梭形细胞肉瘤样成分的双相增殖。此外，头颈部恶性肿瘤转移到甲状腺的病例极为罕见。我们报告一例极为罕见的舌梭形细胞癌转移到甲状腺的病例。一名59岁女性，在舌右缘有息肉样肿块。根据临床分期梭形细胞癌的组织病理学诊断，行部分舌切除术。术后5个月出现甲状腺肿块。她被诊断为甲状腺癌，并进行了甲状腺全切除术。组织病理学诊断显示甲状腺转移。然而，甲状腺肿瘤在甲状腺手术后4个月在颈部复发。肿瘤无法治愈，患者在初次切除后13个月死亡。

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Asian Journal of Oral and Maxillofacial Surgery

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