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Thursday, 27 March 2025

CASE 820-821: PRIMARY THYROID LYMPHOMA (PTL): Dr PHAN THANH HẢI, Dr NGUYỄN TUẤN CƯỜNG , MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 CASE 1 : 

A 40 year-old woman with fatigue, dysphagia and rapidly growing goiter but non weight  last month. She got goiter during 10 years.

Ultrasound detected a # 90mm hypoechoic nodule at the isthmus of the thyroid and some cervical lymph nodes.








Biopsy results were a chronic thyroiditis and inflammed lymph nodes.


But the specimen of thyroid post-op was a round cell lymphoma.


CASE 2:

A 44 year-old woman with #5-26mm multinodular goiter with ultrasound exams from 2020 to 2024. But during 5 years, the vascularized left nodule was grown up rapidly to 37 mm. TSH was still in normal value.




But core biopsy result was suspected a thyroid lymphoma.


Immunohistochemistry result was lymphoma.


She was planed to chemotherapy for thyroid lymphoma.


DISCUSSION:




REFERENCE:





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