“…Regarding US findings, PSCCT has been reported to be a nodule with eggshell calcification and peripheral soft tissue [8], or as a slowly growing, irregularly marginated hypoechoic solid nodule [9]. …”
Section: Discussionmentioning
confidence: 99%
“…When pathologic results reveal SCC of the thyroid gland, it is important to exclude metastases from other organs such as the thymus, lung, and other adjacent structures because metastatic SCC is more common than PSCCT [8]. PSCCT has a more fulminant course and poorer prognosis than metastatic SCC with a median survival of less than 6 months in the majority of cases.…”
Primary squamous cell carcinoma of the thyroid gland (PSCCT) is a rare malignancy that presents with advanced disease and poor prognosis. It is difficult to diagnose PSCCT in its early stage because of its rarity and lack of typical imaging findings. We experienced an elderly woman with PSCCT confirmed by surgery. Although preoperative fine-needle aspiration revealed no malignancy, surgical resection was performed because the ultrasonogram showed diffuse microcalcifications, which suggested malignancy, and clinically, the mass grew rapidly to compress the trachea. Local tumor recurrence was noted at 3 months after surgery. Surgical resection or repeat biopsy should be considered if a cytologically benign thyroid mass shows imaging or clinical features of malignancy.
“…Regarding US findings, PSCCT has been reported to be a nodule with eggshell calcification and peripheral soft tissue [8], or as a slowly growing, irregularly marginated hypoechoic solid nodule [9]. …”
Section: Discussionmentioning
confidence: 99%
“…When pathologic results reveal SCC of the thyroid gland, it is important to exclude metastases from other organs such as the thymus, lung, and other adjacent structures because metastatic SCC is more common than PSCCT [8]. PSCCT has a more fulminant course and poorer prognosis than metastatic SCC with a median survival of less than 6 months in the majority of cases.…”
Primary squamous cell carcinoma of the thyroid gland (PSCCT) is a rare malignancy that presents with advanced disease and poor prognosis. It is difficult to diagnose PSCCT in its early stage because of its rarity and lack of typical imaging findings. We experienced an elderly woman with PSCCT confirmed by surgery. Although preoperative fine-needle aspiration revealed no malignancy, surgical resection was performed because the ultrasonogram showed diffuse microcalcifications, which suggested malignancy, and clinically, the mass grew rapidly to compress the trachea. Local tumor recurrence was noted at 3 months after surgery. Surgical resection or repeat biopsy should be considered if a cytologically benign thyroid mass shows imaging or clinical features of malignancy.
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.
“…The results for thyroid nodules with macrocalcifications (larger than 1 mm at the longest diameter) are controversial. In macrocalcified thyroid nodules, peripheral rim or eggshell calcification has been considered associated with multinodular goiters and has been generally considered as an indicator of a benign nodule 19-21. There are a few reports suggesting that a considerable portion of the macrocalcified nodules are malignant.…”
PurposeTo analyze which sonographic features of thyroid nodules with macrocalcifications were predictable of thyroid malignancy.Materials and MethodsWe reviewed sonographic findings of 854 macrocalcified thyroid nodules in patients who underwent fine needle aspiration biopsy between December 2009 and January 2011. There were 171 non-diagnostic aspirations, 34 nodules with category 3, 4, 5 based on Bethesda system, which were not confirmed by surgery, and these nodules were excluded from the analysis. Sonographic characteristics of the macrocalcifications including its thickness, interruption, and existence of soft tissue rim outside the macrocalcification were analyzed. Other sonographic characteristics of nodules such as shape, margin, composition, echo pattern, vascularity, and underlying parenchymal echogenicity were also evaluated. The correlation of sonographic features with cytopathologic results and the diagnostic performance of sonographic features for the prediction of malignancy were analyzed.ResultsAmong 649 nodules, 179 (27.6%) nodules were malignant and 470 (72.4%) nodules were benign. Among the features of the macrocalcification, interruption, irregular thickness, or the presence of soft tissue outside calcification rim were associated with malignancy (p<0.001). A high sensitivity and negative predictive values for the prediction of malignancy was found in sonographic characteristics of irregular thickness (92.2% and 91.0%, respectively) and the presence of soft tissue (88.5% and 88.8%, respectively).ConclusionSonographic characteristics of macrocalcification such as interruption, irregular thickness and the presence of soft tissue rim were associated with malignancy in thyroid nodules with macrocalcifications.
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