Pérez J A, Ramírez R, Carpio D, Carrasco C, Pérez A
Instituto de Cirugía, Facultad de Medicina, Universidad Austral de Chile.
Rev Med Chil. 2000 Jul;128(7):783-6.
Thyroid lymphoma represents less than 1% of malignant thyroid tumors and its diagnosis is difficult. We report a 25 years old woman, admitted with the diagnosis of diffuse euthyroid goiter and thyroid cancer. She was subjected to a subtotal thyroidectomy and the pathological study of the surgical piece showed a Hodgkin lymphoma, subtype nodular sclerosis. The patient was treated with three cycles of chemotherapy, using cyclophosphamide, vincristine, procarbazine, prednisone, doxorubicin, blemycin, vinblastin and radiotherapy. She refused to continue treatment after the third cycle and after 3 years and 5 months of follow up, is well and free of disease.
甲状腺淋巴瘤占甲状腺恶性肿瘤的比例不到1%,其诊断较为困难。我们报告一名25岁女性,因弥漫性甲状腺肿和甲状腺癌入院。她接受了甲状腺次全切除术,手术标本的病理研究显示为霍奇金淋巴瘤,结节硬化亚型。该患者接受了三个周期的化疗,使用环磷酰胺、长春新碱、丙卡巴肼、泼尼松、阿霉素、博来霉素、长春花碱并进行了放疗。第三个周期后她拒绝继续治疗,经过3年5个月的随访,她情况良好,无疾病复发。