Kennedy K S, Wilson J F
Department of Otolaryngology-Head and Neck Surgery, Naval Hospital, Portsmouth, Virginia.
Ear Nose Throat J. 1992 Aug;71(8):350, 353-5.
Malignant thyroid lymphoma is an uncommon form of thyroid cancer which most commonly presents in elderly women. Most patients demonstrate a rapidly enlarging mass and may show tracheal deviation on chest roentgenogram. Radioisotopic scanning of the thyroid often demonstrates a "cold" or "cool" process of decreased uptake in the affected area. There is often an underlying lymphocytic thyroiditis process noted. Unfavorable prognosis is related to extracapsular extension, blood vessel wall infiltration, diffuse architectural pattern, and cervical lymph node involvement. We present two unusual cases of thyroid lymphoma presenting with acute airway obstruction and review the literature concerning this subject. One case presented a clinical and radiographic appearance similar to a prevertebral space abscess.
恶性甲状腺淋巴瘤是一种不常见的甲状腺癌形式，最常见于老年女性。大多数患者表现为肿块迅速增大，胸部X线检查可能显示气管移位。甲状腺放射性同位素扫描通常显示受累区域摄取减少的“冷”或“凉”结节。常可发现潜在的淋巴细胞性甲状腺炎过程。预后不良与包膜外侵犯、血管壁浸润、弥漫性结构模式和颈部淋巴结受累有关。我们报告两例表现为急性气道梗阻的不寻常甲状腺淋巴瘤病例，并复习有关该主题的文献。其中一例的临床和影像学表现类似于椎前间隙脓肿。
