scholarly journals Squamous Cell Carcinoma Lung Presenting as a Painful Thigh Mass: A Case Report

JMS SKIMS ◽  
2014 ◽  
Vol 17 (2) ◽  
pp. 71-73
Author(s):  
Syed Besina ◽  
Othman Salim Akhtar ◽  
Nazir Bhat ◽  
Tazeen Jeelani Samoon

A 75 year old male presented with a painful swelling in the left thigh. Fine needle aspiration biopsy performed revealed the presence of a Squamous cell carcinoma, prompting further evaluation. This led to the identification of an upper zone mass in the left lung which was excised; intra-operative squash cytology revealing the presence of a Squamous cell carcinoma. The patient then underwent a complete excision of the thigh swelling. Three months after the surgery, the patient died of a stroke. We report this case on account of its rarity and to highlight the role of intra-operative squash cytology in establishing the diagnosis of such lesions. JMS 2014;17(2):71-73

2021 ◽  
Vol 4 (3) ◽  
pp. 01-03
Author(s):  
Talal Mohammed Al-Shahr ◽  
Dema Wahid Hammami ◽  
Mutassem Jaber ◽  
Ghadeer Mazlooh Alenezi

Background: Squamous cell carcinoma of the thyroid gland is a rare tumor. The tumor may arise as a primary tumor within the thyroid gland. Case Presentation: A 62-years-old lady with history a history of a long-standing left neck mass presented with progressive enlargement of the mass for the last 2 months. The mass was associated with dyspnea, dry cough, and difficulty in swallowing but no change of voice. On examination, it was hard and fixed, and other parts of the general examination were unremarkable. Fine needle aspiration revealed malignant cells with squamous cell cancer (BETHESDA VI). On surgical exploration, there was a mixed cystic and solid mass arising from the left thyroid gland locally invading strap muscles, esophagus and trachea. Complete excision was not possible, debulking was done with modified radical neck dissection. The histopathology showed Invasive poorly differentiated squamous cell carcinoma of the thyroid with cystic changes in background of Hashimoto’s thyroiditis. Conclusion: Thyroid squamous cell carcinoma is a rare malignancy with significant management implications. Less than three hundred clear cases of thyroid squamous cell carcinoma have been reported. In this report we describe one additional case of a thyroid squamous cell carcinoma and provide a comprehensive discussion of the clinical significance, and appropriate surgical management.


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