Abstract:We report a well-documented case of fatal thyroid cancer with histopathological characteristics of primary squamous carcinoma. A possible primary tumour elsewhere was excluded. The possible histogenesis of this unusual tumour and the therapy of choice are briefly discussed.
HighlightsRare malignancy with poor prognosis.Survival only achieved in early stages with complete resection in combination with adjuvant therapy.Treatment analog to anaplastic thyroid cancer.
HighlightsRare malignancy with poor prognosis.Survival only achieved in early stages with complete resection in combination with adjuvant therapy.Treatment analog to anaplastic thyroid cancer.
“…To date, approximately 130 cases of primary squamous cell carcinoma of the thyroid gland have been reported in the English literature, with the majority being case reports 7–34 . Thus, clinicopathological features of primary squamous cell carcinoma of the thyroid gland are not well defined.…”
Squamous cell carcinoma of the thyroid has aggressive clinical behaviour and characteristic CK expression pattern. p53 over-expression in these tumours was associated with tumour differentiation.
“…Most patients are in the 5th and 6th decades of life, with ages ranging from 30 to 89 years (mean age, 71 years). The majority of squamous cell carcinomas of the thyroid are large, rapidly growing, and poorly differentiated neoplasms that follow an aggressive clinical course similar to that of anaplastic spindle and giant cell carcinoma [1,5–15]. Patients often present with signs and symptoms of upper airway compression or invasion [3,4].…”
Squamous cell carcinoma is a rare thyroid neoplasm that has been described exclusively in adults. We report what appears to be the first example of a primary squamous cell carcinoma of the thyroid gland arising in a background of Hashimoto's thyroiditis in an adolescent female. The tumor was well demarcated, confined to the right thyroid lobe, and did not metastasize, although follow up has been limited. The squamous cell carcinoma was well to moderately differentiated, and the stroma contained an abundant inflammatory infiltrate rich in lymphocytes and eosinophils. The lack of goblet cells, extracellular mucin, and extensive stromal sclerosis excluded the diagnosis of sclerosing mucoepidermoid carcinoma with eosinophilia. Immunohistochemical staining revealed focal expression of cytokeratin 7 and diffuse labeling with cytokeratin AE1/AE3. The squamous cell carcinoma overexpressed p53 protein and showed increased proliferative activity, as evidenced by the high MIB-1 labeling index. In contrast, the tumor did not show immunoreactivity for thyroglobulin or thyroid transcription factor 1.
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