Intrathecal thoracic carcinoma with lateral cervical lymph node metastasis: a MDT discuss of 2 cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Liying , LEI Jianyong , WANG Yichao ,  LI Zhihui

Department of Thyroid and Parathyroid Surgery, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LI Zhihui, Email: rockoliver@sina.com

Keywords：

intrathyroid thymic carcinoma; carcinoma showing thymus like differentiation; multidisciplinary team; diagnosis; treatment

DOI：

10.7507/1007-9424.202007029

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the experience of diagnosis and treatment of 2 cases of intrathyroid thymic carcinoma(ITTC).Method The clinical data of 2 patients with ITTC treated in West China Hospital of Sichuan University since July 2019 were analyzed retrospectively.Results After the discussion of the multidisciplinary team (MDT), the diagnosis and treatment of 2 cases of ITTC were discussed together, and the prognosis of the patients was actively improved through multidisciplinary cooperation.Conclusion MDT cooperative therapy mode should be adopted in the clinical diagnosis and treatment of patients with ITTC in order to provide a better treatment plan.

Citation： WANG Liying, LEI Jianyong, WANG Yichao, LI Zhihui. Intrathecal thoracic carcinoma with lateral cervical lymph node metastasis: a MDT discuss of 2 cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(3): 364-368. doi: 10.7507/1007-9424.202007029 Copy

1.	Lominska C, Estes CF, Neupane PC, et al. CASTLE thyroid tumor: a case report and literature review. Front Oncol, 2017, 7: 207.
2.	Ge W, Yao YZ, Chen G, et al. Clinical analysis of 82 cases of carcinoma showing thymus-like differentiation of the thyroid. Oncol Lett, 2016, 11(2): 1321-1326.
3.	笪冀平, 石懷銀, 陸江陽. 伴胸腺樣成分的甲狀腺癌八例報告. 中華腫瘤雜志, 1999, 21(4): 303-304.
4.	Wu B, Sun T, Gu Y, et al. CT and MR imaging of thyroid carcinoma showing thymus-like differentiation (CASTLE): a report of ten cases. Br J Radiol, 2016, 89(1060): 20150726.
5.	王蘊珺, 孫團起, 向俊, 等. 胸腺樣分化甲狀腺癌 16 例臨床診治分析. 中國實用外科雜志, 2017, 37(1): 84-87, 92.
6.	馮一星, 張晟. 甲狀腺內胸腺癌聲像圖特征及臨床病理特點分析. 中華超聲影像學雜志, 2019, 28(3): 241-245.
7.	Yamamoto Y, Yamada K, Motoi N, et al. Sonographic findings in three cases of carcinoma showing thymus-like differentiation. J Clin Ultrasound, 2013, 41(9): 574-578.
8.	趙玲, 高潤霖, 劉強, 等. 5 例甲狀腺內胸腺癌臨床病理分析. 上海交通大學學報(醫學版), 2018, 38(10): 1272-1276.
9.	Youens KE, Bean SM, Dodd LG, et al. Thyroid carcinoma showing thymus-like differentiation (CASTLE): case report with cytomorphology and review of the literature. Diagn Cytopathol, 2011, 39(3): 204-209.
10.	Hirokawa M, Kuma S, Miyauchi A. Cytological findings of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation: a study of eight cases. Diagn Cytopathol, 2012, 40 Suppl 1: E16-E20.
11.	Gao R, Jia X, Ji T, et al. Management and prognostic factors for thyroid carcinoma showing thymus-like elements (castle): a case series study. Front Oncol, 2018, 8: 477.
12.	Collins JA, Ping B, Bishop JA, et al. Carcinoma showing thymus-like differentiation (castle): cytopathological features and differential diagnosis. Acta Cytol, 2016, 60(5): 421-428.
13.	Dong W, Zhang P, Li J, et al. Outcome of thyroid carcinoma showing thymus-like differentiation in patients undergoing radical resection. World J Surg, 2018, 42(6): 1754-1761.
14.	Ito Y, Miyauchi A, Nakamura Y, et al. Clinicopathologic significance of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation: a collaborative study with Member Institutes of The Japanese Society of Thyroid Surgery. Am J Clin Pathol, 2007, 127(2): 230-236.
15.	Kakudo K, Bai Y, Ozaki T, et al. Intrathyroid epithelial thymoma (ITET) and carcinoma showing thymus-like differentiation (CASTLE): CD5-positive neoplasms mimicking squamous cell carcinoma of the thyroid. Histol Histopathol, 2013, 28(5): 543-556.
16.	Wang YF, Liu B, Fan XS, et al. Thyroid carcinoma showing thymus-like elements: a clinicopathologic, immunohistochemical, ultrastructural, and molecular analysis. Am J Clin Pathol, 2015, 143(2): 223-233.
17.	Yang S, Li C, Shi X, et al. Primary squamous cell carcinoma in the thyroid gland: a population-based analysis using the SEER database. World J Surg, 2019, 43(5): 1249-1255.
18.	尹峰燕, 張曉健, 張曉舟, 等. 原發性甲狀腺鱗癌的臨床診治與生存分析. 腫瘤基礎與臨床, 2018, 31(4): 354-356.
19.	黃煜慶, 曹君, 葛明華. 原發性甲狀腺鱗狀細胞癌診治研究進展. 中國醫藥, 2018, 13(1): 147-149.
20.	Fassan M, Pennelli G, Pelizzo MR, et al. Primary squamous cell carcinoma of the thyroid: immunohistochemical profile and literature review. Tumori, 2007, 93(5): 518-521.
21.	Booya F, Sebo TJ, Kasperbauer JL, et al. Primary squamous cell carcinoma of the thyroid: report of ten cases. Thyroid, 2006, 16(1): 89-93.
22.	Bishop JA, Sharma R, Westra WH. PAX8 immunostaining of anaplastic thyroid carcinoma: a reliable means of discerning thyroid origin for undifferentiated tumors of the head and neck. Hum Pathol, 2011, 42(12): 1873-1877.
23.	Tran J, Zafereo M. Segmental tracheal resection (nine rings) and reconstruction for carcinoma showing thymus-like differentiation (CASTLE) of the thyroid. Head Neck, 2019, 41(9): 3478-3481.
24.	Tsutsui H, Hoshi M, Kubota M, et al. Management of thyroid carcinoma showing thymus-like differentiation (CASTLE) invading the trachea. Surg Today, 2013, 43(11): 1261-1268.
25.	Hanamura T, Ito K, Uehara T, et al. Chemosensitivity in carcinoma showing thymus-like differentiation: a case report and review of the literature. Thyroid, 2015, 25(8): 969-972.

1. Lominska C, Estes CF, Neupane PC, et al. CASTLE thyroid tumor: a case report and literature review. Front Oncol, 2017, 7: 207.
2. Ge W, Yao YZ, Chen G, et al. Clinical analysis of 82 cases of carcinoma showing thymus-like differentiation of the thyroid. Oncol Lett, 2016, 11(2): 1321-1326.
3. 笪冀平, 石懷銀, 陸江陽. 伴胸腺樣成分的甲狀腺癌八例報告. 中華腫瘤雜志, 1999, 21(4): 303-304.
4. Wu B, Sun T, Gu Y, et al. CT and MR imaging of thyroid carcinoma showing thymus-like differentiation (CASTLE): a report of ten cases. Br J Radiol, 2016, 89(1060): 20150726.
5. 王蘊珺, 孫團起, 向俊, 等. 胸腺樣分化甲狀腺癌 16 例臨床診治分析. 中國實用外科雜志, 2017, 37(1): 84-87, 92.
6. 馮一星, 張晟. 甲狀腺內胸腺癌聲像圖特征及臨床病理特點分析. 中華超聲影像學雜志, 2019, 28(3): 241-245.
7. Yamamoto Y, Yamada K, Motoi N, et al. Sonographic findings in three cases of carcinoma showing thymus-like differentiation. J Clin Ultrasound, 2013, 41(9): 574-578.
8. 趙玲, 高潤霖, 劉強, 等. 5 例甲狀腺內胸腺癌臨床病理分析. 上海交通大學學報(醫學版), 2018, 38(10): 1272-1276.
9. Youens KE, Bean SM, Dodd LG, et al. Thyroid carcinoma showing thymus-like differentiation (CASTLE): case report with cytomorphology and review of the literature. Diagn Cytopathol, 2011, 39(3): 204-209.
10. Hirokawa M, Kuma S, Miyauchi A. Cytological findings of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation: a study of eight cases. Diagn Cytopathol, 2012, 40 Suppl 1: E16-E20.
11. Gao R, Jia X, Ji T, et al. Management and prognostic factors for thyroid carcinoma showing thymus-like elements (castle): a case series study. Front Oncol, 2018, 8: 477.
12. Collins JA, Ping B, Bishop JA, et al. Carcinoma showing thymus-like differentiation (castle): cytopathological features and differential diagnosis. Acta Cytol, 2016, 60(5): 421-428.
13. Dong W, Zhang P, Li J, et al. Outcome of thyroid carcinoma showing thymus-like differentiation in patients undergoing radical resection. World J Surg, 2018, 42(6): 1754-1761.
14. Ito Y, Miyauchi A, Nakamura Y, et al. Clinicopathologic significance of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation: a collaborative study with Member Institutes of The Japanese Society of Thyroid Surgery. Am J Clin Pathol, 2007, 127(2): 230-236.
15. Kakudo K, Bai Y, Ozaki T, et al. Intrathyroid epithelial thymoma (ITET) and carcinoma showing thymus-like differentiation (CASTLE): CD5-positive neoplasms mimicking squamous cell carcinoma of the thyroid. Histol Histopathol, 2013, 28(5): 543-556.
16. Wang YF, Liu B, Fan XS, et al. Thyroid carcinoma showing thymus-like elements: a clinicopathologic, immunohistochemical, ultrastructural, and molecular analysis. Am J Clin Pathol, 2015, 143(2): 223-233.
17. Yang S, Li C, Shi X, et al. Primary squamous cell carcinoma in the thyroid gland: a population-based analysis using the SEER database. World J Surg, 2019, 43(5): 1249-1255.
18. 尹峰燕, 張曉健, 張曉舟, 等. 原發性甲狀腺鱗癌的臨床診治與生存分析. 腫瘤基礎與臨床, 2018, 31(4): 354-356.
19. 黃煜慶, 曹君, 葛明華. 原發性甲狀腺鱗狀細胞癌診治研究進展. 中國醫藥, 2018, 13(1): 147-149.
20. Fassan M, Pennelli G, Pelizzo MR, et al. Primary squamous cell carcinoma of the thyroid: immunohistochemical profile and literature review. Tumori, 2007, 93(5): 518-521.
21. Booya F, Sebo TJ, Kasperbauer JL, et al. Primary squamous cell carcinoma of the thyroid: report of ten cases. Thyroid, 2006, 16(1): 89-93.
22. Bishop JA, Sharma R, Westra WH. PAX8 immunostaining of anaplastic thyroid carcinoma: a reliable means of discerning thyroid origin for undifferentiated tumors of the head and neck. Hum Pathol, 2011, 42(12): 1873-1877.
23. Tran J, Zafereo M. Segmental tracheal resection (nine rings) and reconstruction for carcinoma showing thymus-like differentiation (CASTLE) of the thyroid. Head Neck, 2019, 41(9): 3478-3481.
24. Tsutsui H, Hoshi M, Kubota M, et al. Management of thyroid carcinoma showing thymus-like differentiation (CASTLE) invading the trachea. Surg Today, 2013, 43(11): 1261-1268.
25. Hanamura T, Ito K, Uehara T, et al. Chemosensitivity in carcinoma showing thymus-like differentiation: a case report and review of the literature. Thyroid, 2015, 25(8): 969-972.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Intrathecal thoracic carcinoma with lateral cervical lymph node metastasis: a MDT discuss of 2 cases

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