原发性甲状腺鳞状细胞癌1例报告

Lévay Bernadett
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摘要

简介:原发性甲状腺鳞状细胞癌(SCC)是一种非常罕见的疾病。预后很差,生存时间短。本文的目的是报告一例68岁女性甲状腺鳞状细胞癌,强调手术的复杂性和这种疾病的适当治疗。病例报告:一名68岁女性,颈部肿块快速增长,伴有声音嘶哑和压迫症状。体格检查发现一硬固定肿瘤伴右侧声带麻痹。组织病理学结果证实甲状腺鳞状细胞癌的诊断。PET/CT扫描排除了其他原发恶性肿瘤的可能性。手术治疗后,患者在姑息性放射治疗中死亡。结论:甲状腺鳞状细胞癌预后不良,对外科医生和多学科团队提出适合患者的最佳治疗方案是一个巨大的挑战。
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Primary squamous cell carcinoma of the thyroid-case report of a rare disease
Introduction: Primary squamous cell carcinoma (SCC) of the thyroid gland is a very rare entity. The prognosis is very poor with a short survival time. The aim of this article is to report a case of a SCC of the thyroid gland in a 68-year-old woman, emphasizing how complicate is the operation and the adequate treatment of this disease. Case Report: A 68-year -old woman presented with rapidly growing neck mass with hoarseness and compressive symptoms. Physical examination revealed a hard fixed tumor with right sided vocal cord palsy. Histopathological result confirmed the diagnosis of SCC of the thyroid. PET/CT scan excluded the possibility of other primary malignancies. A surgical intervention was performed, however the patient died in the middle of the palliative radiation therapy. Conclusion: SCC of the thyroid gland is a great challenge for the surgeon and also for the multidisciplinary team to come up with the best treatment option which is suitable for the patient due to its unfavorable prognosis.
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