DOI: 10.36347/sjmcr.2022.v10i02.031

Pages: 167-170

Primary squamous cell carcinoma of the thyroid gland (ThSCC) is extremely rare. It accounts for less than 1% of thyroid malignancies with an aggressive behavior and poor prognosis. We report a case of an early stage ThSCC revealed through the histopathological findings of a total thyroidectomy for a non-toxic multinodular goiter. A 49 years old women presented with two years history of nodular goiter. Ultrasonography confirmed an enlarged thyroid gland with multiple nodules, one was ranked EU-TIRADS V without enlarged cervical lymph nodes. The patient underwent total thyroidectomy. Per operative exploration found few enlarged central lymph nodes that were harvested. Pathology examination found SCC proliferating in the thyroid gland staged pT3 N0. The patient received an adjuvant radiotherapy. Post treatment course is uneventful after one year follow up. Although there is a large agreement regarding the management of advanced ThSCC stage, the management of early stage disease is still controversial.