A patient with synchronous Head and Neck primaries, a squamous cell carcinoma of the tongue with papillary thyroid cancer – A case report.
Journal Title: Advance Research Journal of Multidisciplinary Discoveries - Year 2018, Vol 27, Issue 27
Abstract
Background: We report a rare case in Al-Zahra Cancer Center in Dubai of two Head and Neck malignancies in a 53 years old patient; Squamous cell carcinoma of the tongue and papillary thyroid carcinoma occurring as synchronous cancers in the left side of the neck. These two pathologically distinct malignancies of head and neck subsites in one patient is a rare phenomenon to be further evaluated. Case presentation: Fifty three years old gentleman from Iraq presented with a painless left tongue ulcer with an indurated, irregular margin with elevated edges and necrotic floor, along with left thyroid suspicious nodule, left hemiglossectomy revealed an invasive moderately differentiated squamous cell carcinoma of the tongue pT2 and Left hemithyroidectomy done with welldifferentiated papillary thyroid cancer follicular variant. Conclusion: High index of suspicion and thorough work up is essential in follow up of patients with head and neck primary cancers. The importance of multidisciplinary team work should be stressed on in evaluating patients with Head and Neck cancer and the importance of proper staging before planning a surgery. However, which patients are at increased risk of double primaries, is still unknown. Keywords: thyroid, tongue, cancer, synchronous, doubles primaries.
Authors and Affiliations
Ahmed S. Abdulsamad, Sadir J. Alrawi, Thamir Alkasab, Tamer Madi, Humaa Darr, Humaid O. Al-shamsi
Keywords
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