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Case Report
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| Synchronous dual malignancy of papillary carcinoma thyroid and squamous cell carcinoma tongue: A case report | ||||||
| Soni Tej Prakash1, Goel Sajal2, Sharma Lalit Mohan3, Gupta Anil Kumar4, Sharma Shantanu5, Gothwal Ravindra6 | ||||||
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1MD, Consultant, Department of Radiation Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India.
2DNB, Junior Consultant, Department of Radiation Oncology, Patel Hospital, Jalandhar, Punjab, India. 3MD, Sr. Consultant, Department of Medical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India. 4MS, Sr. Consultant, Department of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India. 5MD, Associate Professor, Department of Radiotherapy, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India. 6MD, (Associate Professor, Department of Radiotherapy, S.M.S. Medical College & Hospital, Jaipur, Rajasthan, India. | ||||||
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| How to cite this article |
| Soni TP, Goel S, Sharma LM, Gupta AK, Sharma S, Gothwal R. Synchronous dual malignancy of papillary carcinoma thyroid and squamous cell carcinoma tongue: A case report. Int J Case Rep Images 2017;8(3):209–212. |
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Abstract
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Introduction:
Patients with thyroid carcinoma have increased risk for development of second malignancy either synchronous or metachronous. We are reporting 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 of metastatic thyroid papillary carcinoma. Total thyroidectomy with central compartment neck dissection and left modified neck dissection was done. Histopathology was reported as pT 2x1 cm, papillary carcinoma right lobe of thyroid, 7 out of 32 lymph nodes showed metatstatic paillary carcinoma thyroid. Although exact cause of second malignancy is unknown but field cancerization, genetic predisposition, history of prior radiation or chemotherapy, improved survival can be attributed for increased incidence of second cancer. Conclusion: Double malignancies require multidisciplinary management approach. | |
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Keywords:
Carcinoma tongue, Papillary thyroid carcinoma, Synchronous
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Author Contributions
Tej Prakash Soni – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Sajal Goel – Acquisition of data, Drafting the article, Final approval of the version to be published Lalit Mohan Sharma – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Anil Kumar Gupta – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Shantanu Sharma – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Ravindra Gothwal – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Tej Prakash Soni et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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