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 loss for late months. She got goiter for 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 after 5 years, the vascularized left nodule was grown up rapidly to 37 mm. TSH was still in normal values.




But core biopsy result was suspected lymphoma.


Immunohistochemistry result was lymphoma.


She was planed to chemotherapy for thyroid lymphoma.


DISCUSSION:




REFERENCE:





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