J Korean Thyroid Assoc.  2014 Nov;7(2):190-193. 10.11106/cet.2014.7.2.190.

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

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, VHS Medical Center, Seoul, Korea. entbohun@hanmail.net

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.

Keyword

Thyroid gland; Lymphoma; Dyspnea; Primary hypothyroidism

MeSH Terms

Aged
Dyspnea*
Humans
Hypothyroidism
Lymphoma*
Neck
Thyroid Gland*

Figure

  • 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)


Reference

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