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PSCT is a distinct disease seldom encountered in clinical practice. Generally, it has an aggressive behavior with a median survival of 9.0 months. Up to date, only two meta-analyses have been conducted and all the other reports were described in case reports or series. Because of the low incidence, best treatment options and related prognostic factors are still underdetermined. Here, we present a case of PSCT in which R2 resection followed by adjuvant radiotherapy attained a favorable PFS of at least 10 months.Case Report:A 63-year-old man presented in October, 2013 with a history of anterior neck mass for 4 months and hoarseness for 2 months. On physical examination, a regular 2.5 cm × 2.0 cm and 5.0 cm × 3.0 cm mass was palpated in the right and left lobe of thyroid respectively without tenderness, moving up and down with swallowing. Trachea shifted to the right. No lymphadenopathy was revealed in bilateral neck. His past history was unremarkable.