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A Case Rarity: Papillary Thyroid Carcinoma with Squamous Metaplasia Complicated with Chronic Discharging Ulcers

Wan Sohaimi WF 1 , Lee YF 2 , Mat Nawi N 1 , Mohd Rohani MF 1 , Sapiai NA 3

Affiliations 

  • 1 1Department of Nuclear Medicine, Radiotherapy and Oncology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan Malaysia
  • 2 Department of Nuclear Medicine, Sabah Women and Children Hospital, Likas, 88450 Kota Kinabalu, Sabah Malaysia
  • 3 2Hospital Universiti Sains Malaysia (Hosp USM), 16150 Kubang Kerian, Kelantan Malaysia
Indian J Surg Oncol, 2019 Dec;10(4):676-678.
PMID: 31857764 DOI: 10.1007/s13193-019-00977-8

Abstract

We report a unique case of differentiated thyroid carcinoma (DTC) with squamous metaplasia complicated with chronic discharging ulcer. A 76-year-old gentleman was referred to us after defaulted treatment 1 year post-total thyroidectomy. He presented to us with long-standing chronic, non-healing, ulcerative and discharging wound at the anterior neck at previous total thyroidectomy scar. The primary tumour was histologically diagnosed as papillary malignant cells with extensive squamous metaplasia. Squamous metaplasia is a rare finding in thyroid carcinoma that carried a poorer prognostic factor.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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