Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon

The term “collision tumor” is described as the coexistence of two or more histologically distinct neoplastic morphologies separated by normal tissue in the same organ. Collision phenomenon involving two and more neoplasms of the thyroid gland is a rare entity. A 54 year old female presented with a d...

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Main Authors: Gopikrishnan Vijayakumar, Anand Vijaya Narayanan, Sithara Aravind, Sandeep Vijay P
Format: Article
Language:English
Published: Light House Polyclinic Mangalore 2023-11-01
Series:Online Journal of Health & Allied Sciences
Subjects:
Online Access:https://www.ojhas.org/issue87/2023-3-12.html
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author Gopikrishnan Vijayakumar
Anand Vijaya Narayanan
Sithara Aravind
Sandeep Vijay P
author_facet Gopikrishnan Vijayakumar
Anand Vijaya Narayanan
Sithara Aravind
Sandeep Vijay P
author_sort Gopikrishnan Vijayakumar
collection DOAJ
description The term “collision tumor” is described as the coexistence of two or more histologically distinct neoplastic morphologies separated by normal tissue in the same organ. Collision phenomenon involving two and more neoplasms of the thyroid gland is a rare entity. A 54 year old female presented with a diffuse large swelling of thyroid gland increasing in size over a period of 20 years. Clinicoradiological examination reveal heterogenous enhancing lesion involving bilateral neck up to skull base. Patient underwent total thyroidectomy with central compartment clearance and bilateral selective neck node dissections. On histopathology, collision tumors with components of five histologically different entities were identified, including hurtle cell adenoma, well differentiated tumor of uncertain malignant potential, papillary thyroid carcinoma-classical variant, follicular variant of papillary thyroid carcinoma and primary squamous cell carcinoma of thyroid within different lobes of thyroid. To the best of our knowledge, this is the first documentation of a collision tumor with five histologically different entities within a single thyroid gland.
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spelling doaj.art-7e2aed1cd24c4a4a82924532f8dd918f2024-02-07T04:20:59ZengLight House Polyclinic MangaloreOnline Journal of Health & Allied Sciences0972-59972023-11-01223Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision PhenomenonGopikrishnan Vijayakumar0Anand Vijaya Narayanan1Sithara Aravind2Sandeep Vijay P3Fellow in Head and Neck Pathology, Department of Oncopathology, CLSTR, Malabar Cancer Centre, Thalassery, Kerala, India.Assistant Professor, Department of Oncopathology, CLSTR, Malabar Cancer Centre, Thalassery, Kerala, India.Associate Professor, Department of Oncopathology, CLSTR, Malabar Cancer Centre, Thalassery, Kerala, India.Assistant Professor, Department of Surgical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India.The term “collision tumor” is described as the coexistence of two or more histologically distinct neoplastic morphologies separated by normal tissue in the same organ. Collision phenomenon involving two and more neoplasms of the thyroid gland is a rare entity. A 54 year old female presented with a diffuse large swelling of thyroid gland increasing in size over a period of 20 years. Clinicoradiological examination reveal heterogenous enhancing lesion involving bilateral neck up to skull base. Patient underwent total thyroidectomy with central compartment clearance and bilateral selective neck node dissections. On histopathology, collision tumors with components of five histologically different entities were identified, including hurtle cell adenoma, well differentiated tumor of uncertain malignant potential, papillary thyroid carcinoma-classical variant, follicular variant of papillary thyroid carcinoma and primary squamous cell carcinoma of thyroid within different lobes of thyroid. To the best of our knowledge, this is the first documentation of a collision tumor with five histologically different entities within a single thyroid gland.https://www.ojhas.org/issue87/2023-3-12.htmlcollision tumorsfollicular variant of papillary thyroid carcinomahurtle cell adenomaprimary squamous cell carcinomapapillary thyroid carcinomawell-differentiated tumour of uncertain malignant potential
spellingShingle Gopikrishnan Vijayakumar
Anand Vijaya Narayanan
Sithara Aravind
Sandeep Vijay P
Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon
Online Journal of Health & Allied Sciences
collision tumors
follicular variant of papillary thyroid carcinoma
hurtle cell adenoma
primary squamous cell carcinoma
papillary thyroid carcinoma
well-differentiated tumour of uncertain malignant potential
title Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon
title_full Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon
title_fullStr Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon
title_full_unstemmed Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon
title_short Primary Squamous Cell Carcinoma with Thyroid Collision Tumors: A Case Report of Rare Thyroid Collision Phenomenon
title_sort primary squamous cell carcinoma with thyroid collision tumors a case report of rare thyroid collision phenomenon
topic collision tumors
follicular variant of papillary thyroid carcinoma
hurtle cell adenoma
primary squamous cell carcinoma
papillary thyroid carcinoma
well-differentiated tumour of uncertain malignant potential
url https://www.ojhas.org/issue87/2023-3-12.html
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AT sitharaaravind primarysquamouscellcarcinomawiththyroidcollisiontumorsacasereportofrarethyroidcollisionphenomenon
AT sandeepvijayp primarysquamouscellcarcinomawiththyroidcollisiontumorsacasereportofrarethyroidcollisionphenomenon