van la Parra Raquel F D, Kroeze Jan, van Die Jos, Mulder Dries, van Zanten Arthur, Tjan David H
Gelderse Vallei Hospital, Surgery, Willy Brandtlaan 10, Ede, 6710HN, The Netherlands.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1193. Epub 2009 Sep 15.
The present report describes the case of an 80-year-old woman who presented at the emergency department with progressive respiratory distress caused by a massive anterior neck mass with tracheal deviation and compression. A CT scan showed diffuse enlargement of the thyroid gland. The patient underwent a left-sided hemithyroidectomy. Pathology unexpectedly revealed a primary thyroid lymphoma. Treatment with prednisone and vincristine was initiated to reduce tumour size and preserve the airway, resulting in rapid volume reduction and airway expansion. Primary thyroid lymphoma is a rare entity that requires adequate diagnosis and rapid initiation of treatment to reduce tumour volume and to prevent airway compromise.
本报告描述了一名80岁女性的病例，该患者因巨大的颈部前方肿物伴气管移位和受压，在急诊科出现进行性呼吸窘迫。CT扫描显示甲状腺弥漫性肿大。患者接受了左侧甲状腺叶切除术。病理检查意外发现为原发性甲状腺淋巴瘤。开始使用泼尼松和长春新碱进行治疗以缩小肿瘤大小并维持气道通畅，结果肿瘤体积迅速缩小，气道得以扩张。原发性甲状腺淋巴瘤是一种罕见的疾病，需要进行充分的诊断并迅速开始治疗，以缩小肿瘤体积并防止气道受压。
