Collision tumor of poorly differentiated thyroid carcinoma and intrathyroid thymic carcinoma arising in association with a branchial cleft-like cyst: a case report - Takeaways - MDSpire
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A Case Report of a Collision Tumor Featuring Poorly Differentiated Thyroid Carcinoma and Intrathyroid Thymic Carcinoma Associated with a Branchial Cleft-like Cyst

  • By

  • Sayed Ali Almahari

  • Jehad Hammad

  • Khalid Khan

  • Haneen Alboosta

  • Worood Husain

  • Jawaher Alansari

  • Yusuf Barhoom

  • August 12, 2026

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  • 1

    A collision tumor featuring poorly differentiated thyroid carcinoma (PDTC) and intrathyroid thymic carcinoma (ITTC) was reported in a 59-year-old male.

  • 2

    The patient initially presented with a benign branchial cleft cyst, which later progressed to a poorly differentiated carcinoma with squamous differentiation.

  • 3

    Histopathological analysis revealed distinct malignant components: PDTC and a squamous carcinoma associated with a benign cyst.

  • 4

    Immunohistochemical profiling supported the diagnosis, showing PDTC markers and squamous component positivity for CK5/6 and p63.

  • 5

    The patient succumbed to severe bronchopneumonia before further staging and treatment could be completed.

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