Synchronous dual malignancy of papillary carcinoma thyroid a
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Patients with thyroid carcinoma have increased the risk for development of second malignancy either synchronous or metachronous. This article reports a rare case of synchronous squamous cell carcinoma oral tongue and papillary thyroid carcinoma.

Case Report: A 60-year-old smoker male was presented with the complaints of non-healing ulcer (2x2 cm) at right anterolateral tongue since six months. Excision biopsy of tongue ulcer was reported as pT 0.8x0.8 cm, moderately differentiated squamous cell carcinoma. Wide local excision of tongue lesion with right modified neck dissection was done. Histopathology was reported as no residual primary tongue tumor seen, 1 out of 28 lymph nodes showed metastatic deposits of squamous cell carcinoma. Unexpectedly another one lymph node was positive for metastatic thyroid papillary carcinoma. Total thyroidectomy with central compartment neck dissection and left modified neck dissection was done.

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Dr. D●●●●●●t M●●●●●k
Dr. D●●●●●●t M●●●●●k Surgical Oncology
Interesting. I feel the primary cancer was under investigated. a minimum ultrasound of neck could have revealed thyroid lesion, leading to diagnosis of thyroid malignancy. both the malignancies could have been operated on the same go. I do not understand rationale of left neck dissemination also in absence of left neck disease. as a head neck surgical oncologists, we have a case series of at least six of these kind of case scenarios.... Read more
Oct 14, 2017Like1