Secretory Carcinoma of the Thyroid Gland: Report of a Highly Aggressive Case Clinically Mimicking Undifferentiated Carcinoma and Review of the Literature.


Journal

Head and neck pathology
ISSN: 1936-0568
Titre abrégé: Head Neck Pathol
Pays: United States
ID NLM: 101304010

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 04 08 2018
accepted: 10 12 2018
pubmed: 20 12 2018
medline: 18 4 2020
entrez: 20 12 2018
Statut: ppublish

Résumé

After being described in the salivary glands as a malignancy with features essentially identical to those of the breast, secretory carcinoma (SC) (formerly mammary analogue SC) has now been identified in other sites including the skin, lung, and thyroid gland. In the breast, SC has a relatively favorable prognosis. Likewise when arising in the salivary glands, it is generally considered to be a low to intermediate grade carcinoma; however, there is a range of clinical behavior with occasional patients dying of progressive disease. SCs of the thyroid gland are rare, and reports suggest a relatively aggressive behavior, at least relative to well differentiated carcinomas such as papillary carcinoma and minimally invasive follicular carcinoma. We present a patient with a highly aggressive thyroid gland SC that mimicked undifferentiated carcinoma clinically. The patient had widespread metastatic disease and died rapidly from airway compromise. We also review the literature for reported cases of thyroid gland SC in order to better establish the clinical features and expected clinical course of such tumors occurring at this site.

Identifiants

pubmed: 30564997
doi: 10.1007/s12105-018-0995-2
pii: 10.1007/s12105-018-0995-2
pmc: PMC6854196
doi:

Types de publication

Case Reports Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

562-572

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Auteurs

Megan A Desai (MA)

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, 3020D Vanderbilt University Hospital, 1211 Medical Center Drive, Nashville, TN, 37232-7415, USA.

Mitra Mehrad (M)

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, 3020D Vanderbilt University Hospital, 1211 Medical Center Drive, Nashville, TN, 37232-7415, USA.

Kim A Ely (KA)

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, 3020D Vanderbilt University Hospital, 1211 Medical Center Drive, Nashville, TN, 37232-7415, USA.

Justin A Bishop (JA)

Department of Pathology, University of Texas Southwestern, Dallas, TX, USA.

James Netterville (J)

Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN, USA.

Joseph M Aulino (JM)

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.

James S Lewis (JS)

Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, 3020D Vanderbilt University Hospital, 1211 Medical Center Drive, Nashville, TN, 37232-7415, USA. james.lewis@vumc.org.
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN, USA. james.lewis@vumc.org.

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