Unexpected Synchronous Diagnosis of Papillary Thyroid Carcinoma in a Patient with Lower Lip Squamous Cell Carcinoma

Veysel Murat Işık, Mert Çalış, Nezih Sungur, Mustafa Gürhan Ulusoy, Uğur Koçer


The presentation of differentiated thyroid carcinoma occurring as a second primary associated with head and neck squamous cell carcinoma
is quite unusual. Here, we present an unexpected synchronous diagnosis of two independent head and neck malignancies. A 78‑year‑old
male with a rapidly growing, firm, and ulcerated lesion on the lower lip was referred to our clinic. Positron emission tomography‑computed
tomography scan performed for systemic screening demonstrated a dense hypermetabolic activity located in the right thyroid lobe, suggesting a
second malignancy. Fine‑needle aspiration cytology of the right thyroid gland performed to differentiate the presence of a metastatic lesion, or
primary thyroid cancer was compatible with malign cytology related to papillary thyroid carcinoma. Multiple malignancies may be diagnosed
synchronously in the head and neck region and these patients with multiple malignant lesions should be evaluated carefully before being
accepted as metastatic.

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Online ISSN:2528-8644
Basılı ISSN:1300-6878 (önceki)

Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi (Turk J Plast Surg),
Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği'nin, Estetik Plastik Cerrahi Derneği'nin, Türkiye Interplast Derneği'nin ve Çene Yüz Cerrahları Derneği'nin yayın organıdır.