Primary Thyroid Lymphoma Associated with Dyspnea in an Old Age Patient: A Case Report

Dae Jin Sah; Joon Yeon Hwang; Choon Dong Kim

doi:10.11106/cet.2014.7.2.190

Journal List > J Korean Thyroid Assoc > v.7(2) > 1056564

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Sah, Hwang, and Kim: Primary Thyroid Lymphoma Associated with Dyspnea in an Old Age Patient: A Case Report

Original Article

Clin Exp Thyroidol 2014;7(2):190-193.

Published online: 3 November 2014

DOI: https://doi.org/10.11106/cet.2014.7.2.190

Primary Thyroid Lymphoma Associated with Dyspnea in an Old Age Patient: A Case Report

Dae Jin Sah, Joon Yeon Hwang, Choon Dong Kim

Department of Otolaryngology-Head and Neck Surgery, VHS Medical Center, Seoul, Korea

Correspondence: Joon Yeon Hwang, MD, Department of Otolaryngology-Head and Neck Surgery, VHS Medical Center, 53 Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul 134-791, Korea Tel: 82-2-2225-1384, Fax: 82-2-2225-1385, E-mail: entbohun@hanmail.net

Received 17 February 2014 Accepted 10 May 2014

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary thyroid lymphoma is a rare tumor which patients usually present an enlarging neck mass, often causing local obstructive symptoms. Hypothyroidism is seen in 30-40% of the patients with primary thyroid lymphoma. We report a 77-year-old man with history of hypothyroidism, presenting enlarging anterior neck mass which pathologically confirmed as thyroid lymphoma with literature review.

Keywords: Thyroid gland, Lymphoma, Dyspnea, Primary hypothyroidism

References

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Fig. 1.

The patient showed palpable, soft and non-tender anterior neck mass.

Fig. 2.

Preoperative CT scan shows a diffusely enlarged thyroid gland (A) with tracheal deviation (B).

Fig. 3.

Gross finding of the enlarged thyroid gland.

Fig. 4.

Lymphoepitelial lesions with MALT balls (lymphoepithelial lesion that occupies thyroid follicle lumen). (H&E stain, original magnification X100)

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