Ghai Rekha, Rekhi Bharat, Saxena Sunita, Kapur Sujala
Department of Pathology, ICMR, Safdarjang Hospital, New Delhi.
Indian J Pathol Microbiol. 2005 Jul;48(3):385-7.
Primary lymphoma of the thyroid gland is a rare disease that is strongly associated with chronic lymphocytic thyroiditis. We report an unusual case of 20-year-old male who presented with thyroid swelling and was diagnosed on cytology as lymphocytic thyroidtis. However, histopathologicalfindings revealed non-Hodgkin's lymphoma that was further classified as B-cell type on immunohistochemical stains. In cytology, lymphomas must be considered as a differential diagnosis in case of Hashimoto's/lymphocytic thyroiditis, subacute thyroiditis and small cell carcinoma.
甲状腺原发性淋巴瘤是一种罕见疾病,与慢性淋巴细胞性甲状腺炎密切相关。我们报告一例不寻常病例,一名20岁男性,因甲状腺肿大就诊,细胞学检查诊断为淋巴细胞性甲状腺炎。然而,组织病理学检查结果显示为非霍奇金淋巴瘤,免疫组化染色进一步分类为B细胞型。在细胞学检查中,对于桥本氏/淋巴细胞性甲状腺炎、亚急性甲状腺炎和小细胞癌病例,必须将淋巴瘤列为鉴别诊断之一。