When a Goitre is a Thyroid Lymphoma
Primary thyroid lymphoma is a rare cause of both thyroid malignancy and extra-nodal lymphoma. It typically presents as a rapidly enlarging goitre with compressive symptoms. Histological analysis of a biopsy specimen is necessary to confirm the diagnosis. Awareness of this disease is important for ea...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2018-12-01
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| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/999 |
| _version_ | 1818134554608664576 |
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| author | Mariana de Aguiar Gonçalves Elsa Gaspar Lèlita Santos Armando Carvalho |
| author_facet | Mariana de Aguiar Gonçalves Elsa Gaspar Lèlita Santos Armando Carvalho |
| author_sort | Mariana de Aguiar Gonçalves |
| collection | DOAJ |
| description | Primary thyroid lymphoma is a rare cause of both thyroid malignancy and extra-nodal lymphoma. It typically presents as a rapidly enlarging goitre with compressive symptoms. Histological analysis of a biopsy specimen is necessary to confirm the diagnosis. Awareness of this disease is important for early diagnosis and appropriate treatment. A 55-year-old man was admitted due to a 3-month history of cervical enlargement, facial and periorbital oedema and dyspnoea, apparently due to a superior vena cava syndrome. However, cervical ultrasound showed asymmetrical thyroid enlargement, lobulated contours and a hypoechogenic texture. A neck CT scan showed calibre reduction of the superior vena cava. The diagnosis of primary thyroid lymphoma was confirmed by open biopsy of the thyroid gland. The patient started treatment with rituximab with clinical improvement. |
| first_indexed | 2024-12-11T09:10:28Z |
| format | Article |
| id | doaj.art-ab8df111212b442cafcda56df8d194c8 |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-12-11T09:10:28Z |
| publishDate | 2018-12-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-ab8df111212b442cafcda56df8d194c82022-12-22T01:13:31ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942018-12-0110.12890/2018_000999999When a Goitre is a Thyroid LymphomaMariana de Aguiar Gonçalves0Elsa Gaspar1Lèlita Santos2Armando Carvalho3Internal Medicine Department, Centro Hospitalar e Universitário de Coimbra, PortugalInternal Medicine Department, Centro Hospitalar e Universitário de Coimbra, PortugalInternal Medicine Department, Centro Hospitalar e Universitário de Coimbra, PortugalInternal Medicine Department, Centro Hospitalar e Universitário de Coimbra, PortugalPrimary thyroid lymphoma is a rare cause of both thyroid malignancy and extra-nodal lymphoma. It typically presents as a rapidly enlarging goitre with compressive symptoms. Histological analysis of a biopsy specimen is necessary to confirm the diagnosis. Awareness of this disease is important for early diagnosis and appropriate treatment. A 55-year-old man was admitted due to a 3-month history of cervical enlargement, facial and periorbital oedema and dyspnoea, apparently due to a superior vena cava syndrome. However, cervical ultrasound showed asymmetrical thyroid enlargement, lobulated contours and a hypoechogenic texture. A neck CT scan showed calibre reduction of the superior vena cava. The diagnosis of primary thyroid lymphoma was confirmed by open biopsy of the thyroid gland. The patient started treatment with rituximab with clinical improvement.https://www.ejcrim.com/index.php/EJCRIM/article/view/999Cervical enlargementprimary thyroid lymphomaextra-nodal lymphoma |
| spellingShingle | Mariana de Aguiar Gonçalves Elsa Gaspar Lèlita Santos Armando Carvalho When a Goitre is a Thyroid Lymphoma European Journal of Case Reports in Internal Medicine Cervical enlargement primary thyroid lymphoma extra-nodal lymphoma |
| title | When a Goitre is a Thyroid Lymphoma |
| title_full | When a Goitre is a Thyroid Lymphoma |
| title_fullStr | When a Goitre is a Thyroid Lymphoma |
| title_full_unstemmed | When a Goitre is a Thyroid Lymphoma |
| title_short | When a Goitre is a Thyroid Lymphoma |
| title_sort | when a goitre is a thyroid lymphoma |
| topic | Cervical enlargement primary thyroid lymphoma extra-nodal lymphoma |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/999 |
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