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Differentiated Thyroid Cancers with Synchronous Second Primary Cancers: Case Series

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The incidence of synchronous second primary cancer (SSPC) with DIfferentiated Thyroid Cancers (DTC) is a very rare entity. Very few case reports and case series were published in the literature. To enumerate the clinicopathological data of patients with DTC with SSPC. This is a single-center retrospective study. All the patients diagnosed with DTC and SSPC from January 2016 to July 2023 were included in the study. The demographic, clinicopathological data, and survival data were collected from the institute's database. Twelve patients were found to have DTC with SSPC. All the patients had papillary thyroid cancer. Ten patients had head and neck squamous cell carcinoma, one patient had malignant phyllodes tumor, and another patient had endometrioid adenocarcinoma as the SSPC. Six patients were diagnosed during preoperative evaluation, one patient was diagnosed 3 months after the oral malignancy diagnosis, and five patients were diagnosed with PTC in cervical nodes after neck dissection. Complete thyroid removal was done in six patients and hemithyroidectomy in two patients. The median follow-up was 25.55 months. The median overall survival was 40.97 months. Head and neck SCC is the most common SSPC with DTC. Since these are rare scenarios multi-disciplinary panel discussion can help in deciding management.

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References

  1. Balajam NZ, Mousavian AH, Sheidaei A, Gohari K, Tavangar SM, Ghanbari-Motlagh A et al (2023) The 15-year national trends of endocrine cancers incidence among Iranian men and women; 2005–2020. Sci Rep 13(1):7632

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Richards ML (2010) Familial syndromes associated with thyroid cancer in the era of personalized medicine. Thyroid Off J Am Thyroid Assoc 20(7):707–713

    Article  Google Scholar 

  3. Xu CC, Biron VL, Puttagunta L, Seikaly H (2013) HPV status and second primary tumours in oropharyngeal squamous cell carcinoma. J Otolaryngol Head Neck Surg 42(1):36

    Article  PubMed  PubMed Central  Google Scholar 

  4. De Luca A, Frusone F, Vergine M, Cocchiara R, La Torre G, Ballesio L et al (2019) Breast cancer and multiple primary malignant tumors: case report and review of the literature. Vivo Athens Greece 33(4):1313–1324

    Google Scholar 

  5. Kamani T, Charkhchi P, Zahedi A, Akbari MR (2022) Genetic susceptibility to hereditary non-medullary thyroid cancer. Hered Cancer Clin Pract 20:9

    Article  PubMed  PubMed Central  Google Scholar 

  6. Vassilopoulou-Sellin R, Weber RS (1992) Metastatic thyroid cancer as an incidental finding during neck dissection: significance and management. Head Neck 14(6):459–463

    Article  CAS  PubMed  Google Scholar 

  7. Pitman KT, Johnson JT, Myers EN (1996) Papillary thyroid carcinoma associated with squamous cell carcinoma of the head and neck: significance and treatment. Am J Otolaryngol 17(3):190–196

    Article  CAS  PubMed  Google Scholar 

  8. López-Escámez JA, López-Nevot A, Moreno-García MI, Gámiz MJ, Salinero J (1999) Cervical metastasis of occult papillary thyroid carcinoma associated with epidermoid carcinoma of the larynx. ORL J Oto-Rhino-Laryngol Its Relat Spec 61(4):224–226

    Article  Google Scholar 

  9. Fliegelman LJ, Genden EM, Brandwein M, Mechanick J, Urken ML (2001) Significance and management of thyroid lesions in lymph nodes as an incidental finding during neck dissection. Head Neck 23(10):885–891

    Article  CAS  PubMed  Google Scholar 

  10. Coskun H, Erisen L, Tolunay S, Basut O, Onart S, Tezel I (2002) Incidental association of thyroid carcinoma and squamous cell carcinoma of head and neck. Am J Otolaryngol 23(4):228–232

    Article  PubMed  Google Scholar 

  11. Ansari-Lari MA, Westra WH (2003) The prevalence and significance of clinically unsuspected neoplasms in cervical lymph nodes. Head Neck 25(10):841–847

    Article  PubMed  Google Scholar 

  12. Sheahan P, Hafidh M, Toner M, Timon C (2005) Unexpected findings in neck dissection for squamous cell carcinoma: incidence and implications. Head Neck 27(1):28–35

    Article  PubMed  Google Scholar 

  13. León X, Sancho FJ, García J, Sañudo JR, Orús C, Quer M (2005) Incidence and significance of clinically unsuspected thyroid tissue in lymph nodes found during neck dissection in head and neck carcinoma patients. Laryngoscope 115(3):470–474

    Article  PubMed  Google Scholar 

  14. Bishen KA, Singh A (2011) A case of dual malignancy: Presenting the necessity for extensive sampling for pathologic examination. J Oral Maxillofac Pathol JOMFP 15(3):306–310

    Article  PubMed  Google Scholar 

  15. Verma RK, Tripathi N, Aggarwal P, Panda NK (2014) Metastatic papillary carcinoma thyroid co-existing with oral cavity squamous cell carcinoma: a case report and review of literature. Egypt J Ear Nose Throat Allied Sci 15(2):125–128

    Article  Google Scholar 

  16. Périé S, Torti F, Lefevre M, Chabbert-Buffet N, Jafari A, Lacau St Guily J (2016) Incidental cervical metastases from thyroid carcinoma during neck dissection. Eur Ann Otorhinolaryngol Head Neck Dis 133(6):383–386

    Article  PubMed  Google Scholar 

  17. Vamanshankar H, Ganesan S, Alexander A, Saxena SK (2017) Papillary carcinoma thyroid coexisting with squamous cell carcinoma: series of two cases. Egypt J Otolaryngol 33(2):549–553

    Article  Google Scholar 

  18. Marius-Ioan B, Doina P (2020) Triple metachronous malignancies with thyroid involvement: a brief overview of five case reports over 20 years of institutional experience. Diagnostics 10(3):168

    Article  PubMed Central  Google Scholar 

  19. Porto ACS, Roider E, Ruzicka T (2013) Cowden Syndrome: report of a case and brief review of literature. An Bras Dermatol 88(6 Suppl 1):52–55

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Priyank Rathod.

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Jebin Aaron, D., Rathod, P., Mehta, S. et al. Differentiated Thyroid Cancers with Synchronous Second Primary Cancers: Case Series. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04636-5

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