Turkiye Klinikleri Journal of Case Reports

Primary Squamous Cell Carcinoma of the Thyroid Coexisting with Tall Cell Variant Papillary Thyroid Carcinoma: Report of Two Cases
Ezgi HACIHASANOĞLUa, Zeynep ALKANb, Günter HAFIZb, Sina ERCANc, Ferda ÖZKANa
aDepartment of Pathology, Yeditepe University Faculty of Medicine, İstanbul, Türkiye
bDepartment of Ear Nose Throat Diseases, Yeditepe University Faculty of Medicine, İstanbul, Türkiye
cDepartment of Thoracic Surgery, Yeditepe University Faculty of Medicine, İstanbul, Türkiye
Turkiye Klinikleri J Case Rep. 2022;30(1):70-4
doi: 10.5336/caserep.2021-85940
Article Language: EN
Full Text
ABSTRACT
Primary squamous cell carcinoma of the thyroid (PSCCT) is a rare and aggressive neoplasm of the thyroid, usually presenting with a rapidly growing mass. In order to diagnose a tumor as PSCCT, tumor should entirely consist of cells with squamous differentiation without any evidence of other types of carcinomas. Tall cell variant papillary thyroid carcinoma (TCVPTC) is an aggressive variant of papillary thyroid carcinoma, composed of cells that are two-three times as tall as they are wide. We report two cases of PSCCT coexisting with TCVPTC. In the literature, there are less than 50 cases showing coexistence of PSCCT and TCVPTC. In all these cases, apart from the ones in which pure squamous cell carcinoma (SCC) is seen as a recurrence of TCVPTC, SCC and TCVPTC areas were intermingled. The 2 cases we report here are unique in the way that PSCCT and TCVPTC are seen concurrently in these patients but they are separate tumors, not admixed with each other.

Keywords: Squamous cell carcinoma; thyroid; papillary thyroid carcinoma; tall cell variant papillary thyroid carcinoma
REFERENCES:
  1. Lloyd RV, Osamura RY, Klöppel G, Rosai J, World Health Organization, International Agency for Research on Cancer. WHO Classification of Tumours of Endocrine Organs. 4th ed. Lyon: IARC; 2017. [Link] 
  2. Lam AK. Squamous cell carcinoma of thyroid: a unique type of cancer in World Health Organization Classification. Endocr Relat Cancer. 2020;27(6):R177-R192. [Crossref]  [PubMed] 
  3. Cho JK, Woo SH, Park J, Kim MJ, Jeong HS. Primary squamous cell carcinomas in the thyroid gland: an individual participant data meta-analysis. Cancer Med. 2014;3(5):1396-403. [Crossref]  [PubMed]  [PMC] 
  4. Morris LG, Shaha AR, Tuttle RM, Sikora AG, Ganly I. Tall-cell variant of papillary thyroid carcinoma: a matched-pair analysis of survival. Thyroid. 2010;20(2):153-8. [Crossref]  [PubMed]  [PMC] 
  5. Bronner MP, LiVolsi VA. Spindle cell squamous carcinoma of the thyroid: an unusual anaplastic tumor associated with tall cell papillary cancer. Mod Pathol. 1991;4(5):637-43. [PubMed] 
  6. Kleer CG, Giordano TJ, Merino MJ. Squamous cell carcinoma of the thyroid: an aggressive tumor associated with tall cell variant of papillary thyroid carcinoma. Mod Pathol. 2000;13(7):742-6. [Crossref]  [PubMed] 
  7. Gopal PP, Montone KT, Baloch Z, Tuluc M, LiVolsi V. The variable presentations of anaplastic spindle cell squamous carcinoma associated with tall cell variant of papillary thyroid carcinoma. Thyroid. 2011;21(5):493-9. [Crossref]  [PubMed] 
  8. Evans WD. De-differentiation of papillary thyroid carcinoma into squamous cell carcinoma. A case of coexistence within an excised neck lesion. BMJ Case Rep. 2012;2012:bcr 201 2007 707. [PubMed]  [PMC] 
  9. Basnet A, Pandita A, Fullmer J, Sivapiragasam A. Squamous cell carcinoma of the thyroid as a result of anaplastic transformation from BRAF-positive papillary thyroid cancer. Case Rep Oncol Med. 2017;2017:4276435. [Crossref]  [PubMed]  [PMC] 
  10. Kallel S, Kallel R, Ayadi S, Ghorbel A. Primary squamous cell carcinoma of the thyroid associated with papillary thyroid carcinoma and Hashimoto's thyroiditis. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(4):291-3. [Crossref]  [PubMed] 
  11. Gadde R, Tafe LJ, Tsapakos MJ, Liu X. A case report of papillary thyroid carcinoma dedifferentiated to squamous cell carcinoma presenting as a lung metastasis: A potential diagnostic pitfall. Diagn Cytopathol. 2020;48(6):581-5. [Crossref]  [PubMed] 
  12. Saunders CA, Nayar R. Anaplastic spindle-cell squamous carcinoma arising in association with tall-cell papillary cancer of the thyroid: A potential pitfall. Diagn Cytopathol. 1999;21(6): 413-8. Erratum in: Diagn Cytopathol 2000; 22(2):136. [Crossref]  [PubMed] 
  13. Sutak J, Armstrong JS, Rusby JE. Squamous cell carcinoma arising in a tall cell papillary carcinoma of the thyroid. J Clin Pathol. 2005;58(6):662-4. [Crossref]  [PubMed]  [PMC] 
  14. Ashraf MJ, Azarpira N, Khademi B, Peiravi M. Squamous cell carcinoma associated with tall cell variant of papillary carcinoma of the thyroid. Indian J Pathol Microbiol. 2010;53(3): 548-50. [PubMed] 
  15. Patten DK, Ahmed A, Greaves O, Dina R, Flora R, Tolley N. Anaplastic spindle cell squamous carcinoma arising from tall cell variant papillary carcinoma of the thyroid gland: a case report and review of the literature. Case Rep Endocrinol. 2017;2017:4581626. [Crossref]  [PubMed]  [PMC] 

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